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Of course from the one distant photo provided, it is difficult to be certain. However, there appears to be significant volume deficit in the upper cheek to lower lid region that would account for the hollow appearance that disturbs you. If this is indeed the case, then the use of a robust HA volumizing filler cheek augmentation would help to create a smoother, more natural looking transition between the upper cheek and the lower lid regions, thereby diminishing the under-eye hollowing that disturbs you. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler injector, since it is important that the filler be appropriately placed so as to maintain male cheek structure and not inadvertently feminize the cheeks in the process. Hope this helps and best of luck.
A lower blepharoplasty and release of the fat pad may fill out the contour deformity that you dislike. Best Wishes, Gary Horndeski, M.D.
Mela Adema seems to be a real thing that some people develop. We don’t have a good understanding of what causes it or why some individuals have it. There are many contributing factors to how this area appears. The area is fairly complex and there are many different variables to take the c...
You cannot physically remove Fillers. Fillers become incorporated into the interstitial space in the tissues themselves. You can’t separate or identify filler and separate them from live tissue. What your surgeon is suggesting makes little sense. If you have HA-based fillers, then they should b...
