What is this indent called under my eyes, on the sides of my upper nose? Can this be fixed with fat transfer or filler? (photo)

Question

When I smile, I get there indents under my eyes, on the sides of my upper nose. Are these tear troughs? Can this be fixed with fat transfer or filler? I just did Botox under my eyes hoping it would help relax the muscles there but it actually made these indents more prominent.

Nima Shemirani, MD · Answer

Hi @MamaJay. Thank you for sharing your photo. You would be a great candidate for tear trough 
fillers. Restylane and Belotero work great.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Daniel Barrett, MD · Answer

Dear MamaJay,
generally speaking, dermal fillers are a great option for that region. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

Jean M. Casello, MD · Answer

The area that you are concerned about is called the tear trough.  This can easily be corrected using a dermal filler.  Make sure that you consult with an experienced injector as this is an advanced area to inject.

Ray Bayati, MD · Answer

hioverall fillers can add volume and improve the look.I favor fillers over fat transfer. have a formal consultation with an expert.best

Anteneh Roba, MD · Answer

Its hard to tell from the photo but, it looks like you have volume loss and we'll placed fillers can correct the loss.

George C. Skandamis, MD, FAAD · Answer

Those indents are called tear troughs caused by loss of volume under the skin.  This can be corrected by using a filler like hyaluronic acid. Restylane L is a good option for this area as it’s not too thick.  Find a board certified dermatologist or plastic surgeon with experience injecting this delicate area.

Robert T. Buchanan, MD (retired) · Answer

As you have already learned, the "indent" is a form of tear trough. It is easily treated with use of the proper filler or fat by an expert. Unfortunately, the majority of injectors who treat this area are not experts, Make sure you see examples of treated patients who had similar problems. I strongly disagree with several responders who would use a light filler like Belotero, Restylane or Volbella, as these, in my experience, cause more problems than they correct.

What is this indent called under my eyes, on the sides of my upper nose? Can this be fixed with fat transfer or filler? (photo)

Answers (8)

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