What permanent solutions are out there for this deep tear trough under my eye? (Photos)

Question

Hello, I'm looking to see what permanent solutions out there are for this deep tear trough under my eye. I have a plastic surgeon near me who has very good reviews and he was going to give me lower blepharoplasty surgery. I also get puffy eyes underneath in the morning and he was going to remove that while lifting the eyelid. My only concern was there was there didn't seem to be enough fat there. Seems my left eye is slowly developing that trend as well.

Anil R. Shah, MD · Answer

Hope this finds you well. When done correctly under eye filler can last quite a while (18 months+), for a longer lasting option consider fat transfer. Best of luck.

Andrew Miller, MD · Answer

Based on your photos, you are a good candidate for eyelid surgery. It is difficult to tell the size of your fat bags under the eyes in the photos. But you can't really operate on puffy morning eyes. The fat would have to be present all day and you don't want the fat to be over resected because you will look more hollow. You appear to have some malar edema which is difficult to treat. Along with conservative fat removal, a fat transfer should also be done to hide the orbital rim and make the edema and tear trough less noticeable. Be sure to see a facial specialist for consultation.

Gary M. Horndeski, MD · Answer

The best solution for you would be a lower blepharoplasty with fat transposition.  The fat from the orbital region is transferred into the hollow to make it look more normal.

Best Wishes,

Gary Horndeski, M.D.

Mehryar (Ray) Taban, MD, FACS · Answer

2 potential treatment options are filler injection and infraorbital rim implant. Need more detailed evaluation and discussion with expert to determine what is best for you.

Zoran Potparic, MD · Answer

You seem to be a good candidate for transconjuctival lower blepharoplasty to correct tear through deformity and ad volume to the upper cheeks by means of fat grafting. In person consultation or a teleconference with a board certified plastic surgeon with experience in these techniques is recommended. Good luck.

What permanent solutions are out there for this deep tear trough under my eye? (Photos)

Answers (6)

Answer: Under eye hollowness treatment

Answer: Under eye hollowness treatment

Answer: Transconjuctival lower blepharoplasty and periorbital fat gradting

Answer: Transconjuctival lower blepharoplasty and periorbital fat gradting

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.

What permanent solutions are out there for this deep tear trough under my eye? (Photos)

Answers (6)

Answer: Under eye hollowness treatment

Answer: Under eye hollowness treatment

Answer: Transconjuctival lower blepharoplasty and periorbital fat gradting

Answer: Transconjuctival lower blepharoplasty and periorbital fat gradting

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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.