I have very deep tear troughs that are genetic. I recently went to a dermatologist that informed me that fillers would not help my situation. She said fillers are not meant for the tear trough. Should I see a second opinion? Should I see a plastic surgeon instead of a dermatologist?
Is It True That Fillers Are Not for Tear Troughs?
Doctor Answers 14
Injections could work, but they aren't for everyone...
It’s extremely important to individualize the treatment of tear troughs. In some patients the lower eyelid skin is extremely thin and for this reason injectable fillers aren’t always indicated. In this situation injections may be accompanied by nodules and bluish discoloration.
It’s important to realize that lower eyelid filler injections can be very effective for treating tear trough deformities but aren’t for everyone with this condition. For this reason it’s important that patients with tear trough deformities be evaluated by a board certified plastic surgeon. This surgeon should be able to formulate an appropriate treatment plan for this problem.
Fillers can soften the tear trough
Fillers can be used to soften the tear trough area. The choice of filler is important> I prefer the hyaluronic aced fillers because of their consistency, clear nature, and reversibility. Especially in this area, the skin is very thin, lumps may occur and it is nice to be able to inject a hyaluronidase which can smooth the area in a day or two.
Autologous fat transfer is an excellent filler, however I prefer to perform this procedure in the operating room.
Fillers are GOOD for tear troughs
In a patient with the right anatomy and good skin, fillers are among the best ways to improve the tear troughs. They work better and are more predictable than fat injections in my opinion.
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Dermal fillers can be used to soften up tear troughs. You would thorough assessment to see if you are ideal candidate that would benefit from fillers in this area. In Canada, I have Teosyal Redensity II at my disposal which works with great effect to soften up tear troughs. Best wishes.
Under Eye Fillers, Tear Trough Filler Injection
Use of blunt Cannula can help to minimize the bruising in this area.
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Tear Troughs Can Be Injected
It may be worth your while to seek a second opinion. The tear troughs can be injected with a dermal filler if the client is a good candidate for the procedure. The area above the orbital rim cannon be injected. It also would depend on which part of the tear trough has the hallowing.
Fillers can help tear troughs
Certain fillers can do wonders for making tear troughs less noticeable. My patients commonly tell me that even though they feel tired and sleep-deprived, their filler makes they look well rested! However, it's very important to go to someone experienced in treating this area. Certain people have very prominent fat pads under their eyes, and these patients are probably best suited for surgery. However, many patients who have hollows can absolutely benefit from a small amount of filler. I usually start with only a drop and then we can always add more. Too much filler in this area can look very artificial, so be sure to go to someone who is conservative and is looking to help you achieve a natural look
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.