Implants or Blepharoplasty for Tear Troughs? (photo)

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

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.