I Am 30 and Had Tear Trough Implants. Thought They Would Eventually Go Away, But Haven't? (photo)

Injectables are a good alternative to any further surgical procedures. Even fat transposition is probably not more predictably effective than fat  or other injectable fillers. Injectable fillers, other than fat, are readily and safely injected, with little if any downtime (2-7d max.),  in experiences hands..  My choice of fillers would ne hyaluronic acid (Restylane, Juvederm, Bolotero, etc,) which are essentially all equivalently effective. They last about 1 year = or -. Radiesse is longer lasting 1-2 years+ but a bit more expensive.  I appears that the Implants you have, are positioed well, and don't need to be removed or replaced.  Because changes continure to take place, over a period of yeears, there is nothing permanent that won't need to be augmented or altered with the passage of time.  Good luck in your persuit of happiness.

If the implants were not completely effective for eliminating the tear troughs, then you have three options. The first and simplest would be to have fat injections on top of your existing implants. The second option would be to replace the existing implants with larger ones to get a fuller effect. The third option would be to do an infraorbital fat transposition over the existing implants. There are advanatages and disadvantages to either approach and more information, such as what type of implants you have in place, would be needed to help you make an informed decision.