Am I a good candidate for tear trough or mid-face filler? 22 y/o female, concerned about lines and hollow under eyes (photos)

Question

As I’ve grown older I hate smiling because of the lines and hollowness underneath my eyes. At first I thought tear trough filler would be a choice to consider, but after some researching I’m more inclined towards mid-face filler. I believe my cheeks have lost volume as I’ve aged and filled will help support my under eye hollow when I smile.

Nima Shemirani, MD · Answer

Hi @Reliable210702. You would benefit from midface and tear trough fillers. My go to products for the tear trough area include Restylane Defyne or Juvederm Voluma.

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Alina K. Stanciu, MD, FAAO, FAACS · Answer

You probably meet a tear trough. Filler. Done by an expert injector and Crows Feet treatment mini Tox This should be done by an expert injector cosmetic surgeon with proper consultation prior

Nelson Lee Novick, MD · Answer

The upper cheek is a major support for the under eyes. So, when there is volume deficit there, not only do the cheeks reflect this, but the under eye area can as well with the development of tear trough and under-eye hollows. At least from the photos provided, addressing the volume deficit in the cheeks with the use of a robust volumizing HA filler would be a reasonable place to begin. By contrast, directly treating the tear troughs would be like building a house without first putting in a solid foundation. Make sure to consult an experienced, board certified dermatologist and best of luck.

Camille Cash, MD · Answer

Thank you for your photos and questions.  You bring up a good point.  Often times to get the best result under eye filler and cheek filler are both needed.  Under the eyes the filler will add volume to hollows.  The cheek filler helps to unify the contours of the face.  Morpheus8 treatments are also helpful to improve skin tone and texture.  See an expert injector near you to learn more.

Am I a good candidate for tear trough or mid-face filler? 22 y/o female, concerned about lines and hollow under eyes (photos)

Answers (5)

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