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Filler or blepharoplasty to treat the lumps under my tear trough? (Photo)

hughenden13Sep 15, 2023
I had lower lid blepharoplasty in May 2022. The procedure was relatively successful. And corrected some fat prolapse post thyroid eye disease. I have since had one filler treatment for hollowing in the tear trough (Juvederm). This was approx 8 months ago. I have recently noticed lumps under my tear trough (photo). The questions: are these likely to be as a result of fat redisposition during blepharoplasty or do they look like filler residue? What are treatment options?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Camille Cash, MD
Board Certified Plastic Surgeon
Answered on Sep 25, 2023
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Jennifer Goodrich, MD

Good morning.Based on the photos, you do have prominence over the upper and outer aspect of your upper eyelid, which can be due to a combination of fat and bone. your outer corner of your eyes could also be elevated with a canthopexy to improve the eye shape. There is also a tear trough...

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Jag Chana, MD, FRCS(Plast)

A good option is fillers . PRP and skin boosters do not provide volume. Fillers will need repeating and therefore another option is fat transfer. Best to get an opinion from a Plastic Surgeon who can discuss the pros and cons of these procedures with you.

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Zoran Potparic, MD

It is very difficult to give you good advice without an in-person evaluation. A small amount of fat grafts injected just above the fold may improve your result. In-person consultation with a board-certified plastic surgeon with extensive experience in facial fat grafting is recommended. Good luck.

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