I am a 32 year old female and looking for the best treatment for under eye hollows/wrinkles. I went to a derm to discuss fillers. To my surprise, she recommended a lower blepharoplasty instead of fillers. With work, surgery really isn't an option. Is there ANY filler that will treat under eye hollows/wrinkles? If so, is it better to inject them into the cheeks or tear troughs?
Answer: Fillers vs fat repositioning
Both fillers to the tear trough/cheek and lower lid blepharoplasty with fat repositioning are valid options. If taking 1-2 weeks off from work is not an option for you, then fillers are the way to go. Juvederm, Restylane, or Boletero can be used in this area. A combination of injection to the tear trough and the upper cheek would give you the best outcome.
Helpful 4 people found this helpful
Answer: Fillers vs fat repositioning
Both fillers to the tear trough/cheek and lower lid blepharoplasty with fat repositioning are valid options. If taking 1-2 weeks off from work is not an option for you, then fillers are the way to go. Juvederm, Restylane, or Boletero can be used in this area. A combination of injection to the tear trough and the upper cheek would give you the best outcome.
Helpful 4 people found this helpful
Answer: Fillers NO byVillar
A thorough physical examination (touch and feel) is essential to determine the appropriate technique suited for each individual patient. Poorly lit photos will generate a lot of bad advice. Do not waste your time with fillers. It is always better to do the best procedure that deals with the problem and get it right the first time.
In skilled hands you could reasonably return to work in one week. Full unrestricted activity is typically at three weeks. Best wishes. Knowledge is power. Luis F. Villar MD FACS
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Answer: Fillers NO byVillar
A thorough physical examination (touch and feel) is essential to determine the appropriate technique suited for each individual patient. Poorly lit photos will generate a lot of bad advice. Do not waste your time with fillers. It is always better to do the best procedure that deals with the problem and get it right the first time.
In skilled hands you could reasonably return to work in one week. Full unrestricted activity is typically at three weeks. Best wishes. Knowledge is power. Luis F. Villar MD FACS
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September 8, 2014
Answer: Transconjunctival Blepharoplasty or Fillers Both surgery and fillers are options. A transconjunctival blepharoplasty...an incision on the inside of the eyelid to remove the fat pocket would work well for you. Your recovery should not be too bad. Alternatively, a filler such as Radiesse to the cheeks and Restylane to the lid cheek junction and tear trough would help significantly. All the best.
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September 8, 2014
Answer: Transconjunctival Blepharoplasty or Fillers Both surgery and fillers are options. A transconjunctival blepharoplasty...an incision on the inside of the eyelid to remove the fat pocket would work well for you. Your recovery should not be too bad. Alternatively, a filler such as Radiesse to the cheeks and Restylane to the lid cheek junction and tear trough would help significantly. All the best.
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August 16, 2015
Answer: Lower Lid Blepharoplasty
Based on your photos, I think you would do best with a blepharoplasty. It will give you a better result and ultimately be more cost effective. Find a surgeon who will do a fat transferring technique which will transpose fat into your tear trough. Hope this helps.
Steven Covici, MD
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August 16, 2015
Answer: Lower Lid Blepharoplasty
Based on your photos, I think you would do best with a blepharoplasty. It will give you a better result and ultimately be more cost effective. Find a surgeon who will do a fat transferring technique which will transpose fat into your tear trough. Hope this helps.
Steven Covici, MD
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October 18, 2013
Answer: Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids. Surgery will require about 7 days of downtime to recover from any swelling or bruising but will give you a long-term improvement in the lower eyelid bags. Filler, on the other hand, has minimal downtime (any bruising can be covered up immediately with makeup) but is temporary lasting from 6-12 months. Both options will work well for you. I hope this information is helpful.Stephen Weber MD, FACS
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October 18, 2013
Answer: Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids. Surgery will require about 7 days of downtime to recover from any swelling or bruising but will give you a long-term improvement in the lower eyelid bags. Filler, on the other hand, has minimal downtime (any bruising can be covered up immediately with makeup) but is temporary lasting from 6-12 months. Both options will work well for you. I hope this information is helpful.Stephen Weber MD, FACS
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