Long term effects of under eye trough filler? Will depressions worsen if I discontinue procedure after doing it a few years?

Question

Did one treatment in June not satisfied with results... considering trying again but was wondering what happens to tear trough depressions if I stop getting them filled? Not sure about having to repeat this process on a yearly basis. And wouldn’t want to make them to look worse if I discontinue fillers.

Jonathan Kulbersh, MD · Answer

I appreciate your question and your concern. Filler is naturally absorbed by the body over time, so patients do need to repeat the treatment regularly to maintain their results. Once the filler is gone, the treatment area returns to its original state. There is not enough filler injected to actually produce more skin laxity. However, as the area ages, the skin will naturally become looser. I encourage you to schedule a consultation with a board-certified facial plastic surgeon who can assess you in person and determine whether tear trough fillers, laser treatment, or eyelid surgery will offer you the most satisfying results.

Amanda Holden, MD · Answer

Hello!!
You can absolutely discontinue fillers at any point in time. After our 3rd decade of life, we lose 1 tablespoon of fat from our face EACH YEAR. So, yes the depressions could absolutely worsen over time if not refilled or if surgical options were not used. However, this is just due to facial aging in general and discontinuing filler will not expedite facial aging anymore than the normal progression.

Vibha Gambhir, MD · Answer

Hello and thank you for your question.  Once all the filler has dissolved, you will return to your natural state.  Fillers do need to be repeated yearly to maintain.  For more permanent result consult with a board certified cosmetic surgeon to discuss your goals.  Good luck to you!

Camille Cash, MD · Answer

The area treated with filler will return to it's original state as the filler gradually metabolizes.  You will continue to age of course, so it's important to take good care of your skin.  If you are wanting more permanent results you can visit with a board certified plastic surgeon to discuss lower blepharoplasty or perhaps fat grafting, depending on your needs.

Robert T. Buchanan, MD (retired) · Answer

Without knowing exactly what your problem is now or what you had in June I can give no real advice. However, there are several problems with your question. If you were not happy with the results in June, why did you not go back or see someone else to determine what the problem was. I generally make sure my patients are satisfied before they leave the office or, if there is a question of possibly underfilling, have them return in a few weeks to reevaluate the area. Secondly, treating the tear troughs yearly is ridiculous. You should treat this area with a heavy filler like Juvederm Voluma or Radiesse, the latter lasting usually a minimum of 18 months and the former 2 years. In fact, I have had Voluma last over 5 years. The one advice I can give you is that you need to see an expert in treating this area as probably greater than 75% of injectors treat it wrong.

Long term effects of under eye trough filler? Will depressions worsen if I discontinue procedure after doing it a few years?

Answers (5)

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