29/F looking for a permanent solution for my under eyes. I have an indentation & thin skin making the area appear dark. I had a consultation with a plastic surgeon and he gave me three options: 1. Temporary filler 2. eyelid surgery with fat grafting 3. custom tear trough implant. I am leaning toward the implant because I've been told the body eventually absorbs the fat because there is no blood supply. I'd appreciate a second opinion on what the right course of action would be. Thanks!
September 1, 2015
Answer: BAD PHOTOS, BAD ADVICE byVillar
Holding the camera high and looking up at it creates pseudo scleral show and pseudo fat herniation. We can only give you bad advice with these photos. A careful hands on examination is essential to give quality advice. Photos should be straight on for general advice. Best wishes. Knowledge is power. Luis F. Villar MD FACS
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September 1, 2015
Answer: BAD PHOTOS, BAD ADVICE byVillar
Holding the camera high and looking up at it creates pseudo scleral show and pseudo fat herniation. We can only give you bad advice with these photos. A careful hands on examination is essential to give quality advice. Photos should be straight on for general advice. Best wishes. Knowledge is power. Luis F. Villar MD FACS
Helpful
February 7, 2018
Answer: Negative vector
You have scleral show in all of your pics. Being not age related I feel this is anatony of the underlying bones or increasing the positive vector ( like placing a finger over your lower lid.. This would help the progenitor of several problems. I would not do surgery today but rather a shelf of sculptra close to the eye on the bnone and Juvedern neat the rim. Watch the lower lid rise! In the past transcong fat redistributuion helps and does elevater the lid but not enough there. I agree tear trough implants are exactly the cure but far too many problems.
Good luck
PS you are a bear trap waitiing for most surgeons.
Helpful
February 7, 2018
Answer: Negative vector
You have scleral show in all of your pics. Being not age related I feel this is anatony of the underlying bones or increasing the positive vector ( like placing a finger over your lower lid.. This would help the progenitor of several problems. I would not do surgery today but rather a shelf of sculptra close to the eye on the bnone and Juvedern neat the rim. Watch the lower lid rise! In the past transcong fat redistributuion helps and does elevater the lid but not enough there. I agree tear trough implants are exactly the cure but far too many problems.
Good luck
PS you are a bear trap waitiing for most surgeons.
Helpful