I`m 38 yo and developed "tear trough" issue a couple of years ago. To address this I got Perlane 1ml to each side 4 months ago and it was ok for the first month, but now I feel like swollen in the area and my troughs look even worse then before the procedure. Does that mean that fillers are not good for me and I should probably opt for SOOF lift instead? I would appreciate your comments
November 20, 2014
Answer: Tear trough midcentury, you need to let the filler wear off and see a specialist who is familiar with fillers to this area and the "SOOF lift blepharoplaty". I cannot tell if you are developing malar bags early in life or are simply reacting poorly to the injection. I'd wait at least another several months before seeking any intervention. As the inventor of the "SOOF lift" I've seen quite a few younger woman who benefit from the procedure but I do not know solely from your photos if you would be one of them. Good luck!
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November 20, 2014
Answer: Tear trough midcentury, you need to let the filler wear off and see a specialist who is familiar with fillers to this area and the "SOOF lift blepharoplaty". I cannot tell if you are developing malar bags early in life or are simply reacting poorly to the injection. I'd wait at least another several months before seeking any intervention. As the inventor of the "SOOF lift" I've seen quite a few younger woman who benefit from the procedure but I do not know solely from your photos if you would be one of them. Good luck!
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November 20, 2014
Answer: Tear trough deformity Hi midcentury. Thanks for your question. Tear trough deformities are typically due to either 1) lower eyelid fat herniation, with shadowing under the fat and/or 2) volume loss in the lower eyelid/cheek region. Volume loss is addressed by volume replacement, typically with fillers or fat from your own body. The hyaluronic acids are great fillers for the face. Some do absorb water, increasing in volume over time. This may be happening if you are noticing increased swelling in the region of injection. If this is the case, then the hyaluronic acid can be dissolved. I would recommend an in person consultation for a proper examination. Good luck. Best, Dr H
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November 20, 2014
Answer: Tear trough deformity Hi midcentury. Thanks for your question. Tear trough deformities are typically due to either 1) lower eyelid fat herniation, with shadowing under the fat and/or 2) volume loss in the lower eyelid/cheek region. Volume loss is addressed by volume replacement, typically with fillers or fat from your own body. The hyaluronic acids are great fillers for the face. Some do absorb water, increasing in volume over time. This may be happening if you are noticing increased swelling in the region of injection. If this is the case, then the hyaluronic acid can be dissolved. I would recommend an in person consultation for a proper examination. Good luck. Best, Dr H
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