57, what's the better solution for my eye indentation/troughs? (Photo)

Question

Hi, I'm never had fillers or any other procedures. I'm 57 years old, not looking to erase the signs of aging, but I am wanting to understand how I can address the deep troughs I have. When I tagged along 6 years ago with a friend who was getting fillers, I inquired about a filler for my tear troughs and the individual indicated that one side would require a great deal of filler and that it my not work well. What's a better solution? I assume surgical but not sure what it's called.

Zoran Potparic, MD · Answer

Unfortunately, this is a poor photo that does not show much of the presented deformity. However, it does show that you have very deep tear troughs which will require a transconjunctival lower blepharoplasty. An incision is placed inside of the patient's eyelid, the orbicularis muscle, and tendon insertion (which creates TT deformity) is released from the bone attachment, and small local fat flaps are placed underneath to fill the groove. In some patients, additional fat grafting of the cheek/eyelid connection may create further improvement. Hope this helps.

Nelson Lee Novick, MD · Answer

Unfortunately, a full face photo clearly showing the cheeks would have been extremely helpful. Since the upper cheeks constitute a major support for the lower lid area, age-related loss of volume in the cheeks contributes greatly to the formation of the tear troughs. So, if volume in the cheeks is at the root cause, then the use of a robust HA volumizing filler can not only improve and restore cheek contour, but also secondarily improve the tear trough issue. If still necessary, a low viscosity, malleable, cohesive HA filler can then be used to further elevate and smooth the tear troughs. In experienced hands, both of the aorementioned can be performed in about twenty minutes with immediate, on-the-spot results. Hope this helps. Best of luck.

Mats Hagstrom, MD (license on probation) · Answer

And make a quality assessment we need better pictures, including more of your face.
At least the full width of your mid face
There are a number of ways of addressing the tear trough
I suggest send me a few in person consultations with plastic surgeons in your community.
Mats Hagstrom MD

57, what's the better solution for my eye indentation/troughs? (Photo)

Answers (3)

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57, what's the better solution for my eye indentation/troughs? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.