What would you recommend for my tear trough deformity? (photos)

Question

I am 16, and since I was a child I've had these sunken in lower eyelids. They aren't even very dark but they have this sunken in half-moon indentation and I'm really insecure about it because It makes me look tired and like a zombie. Makeup doesn't cover it and it's really noticeable when I smile. Could a plastic surgeon do anything for it or am i too young to get anything done?

Harold J. Kaplan, MD · Answer

Hi Alyssa.  We have had several young patients like you who have tear troughs related to genetics rather than age.  In these situations, Restylane is an excellent option for helping improve the appearance below the eyes.  To see other before and after pictures of Los Angeles tear trough injection patients, including one that very much resembles your situation, click on the link below.

Mehryar (Ray) Taban, MD, FACS · Answer

You appear to have more hollowness (in the area of dark circles) that fullness/puffiness (above the area of the dark circles), which means you would probably benefit from filler injection in the hollow area to the contour more even.

Robert J. Spies, MD · Answer

Based on only one picture you sent, it appears you do have a tear trough but I cannot tell it's severity.  A good exam by a board-certified plastic surgeon would help.  I personally would be uncomfortable treating a 16 year old for this problem.

Kenneth D. Steinsapir, MD · Answer

The small fullness in your orbital rims is not "herniated" fat but your orbital rim.  A bit of softness in the lower eyelid is normal.  It tells people that you have a lower eyelid.  If this area is filled in with fillers, you get the "mono cheek."  This looks goofy.  The can be occupational reasons even at your age for doing filler service for the lower eyelid.  If you are modeling or acting, there can be pressure to look as good as possible.  Under that circumstances, services are sometimes provided for very young people with the permission of their parents.

Toby Mayer, MD · Answer

Tear trough deformity in young. I need to see photos to be able to tell u what would be best--an exam is better.

What would you recommend for my tear trough deformity? (photos)

Answers (8)

Answer: For your age and issues, you should do nothing for many years.

Answer: For your age and issues, you should do nothing for many years.

Answer: Tear trough deformity in young.

Answer: Tear trough deformity in young.

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Everything you need to know about Eyelid Surgery

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What would you recommend for my tear trough deformity? (photos)

Answers (8)

Answer: For your age and issues, you should do nothing for many years.

Answer: For your age and issues, you should do nothing for many years.

Answer: Tear trough deformity in young.

Answer: Tear trough deformity in young.

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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.