Can I fill these teartroughs or will it look worse? (photo)

I (on bad days) have deep set rings underneath my eyes which cause this hideous sickly look. I'm only 30! It's not allergies I don't believe and it get's worse when I smile. My Dr. refuses to inject my tear troughs because he says it holds water and may may the appearance of them worse when I smile. Is they any possible what that's not correct and this could be solved? I feel like I look twenty years older all of the sudden.

Doctor Answers 5

Hollows under the eyes can be improved with fillers

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Some patients have volume loss while others also can have fat pad or muscular protrusion along with volume loss.  Check with an expert Dermatologic Surgeon to see if you are a candidate for the fillers or if you need other procedures to improve the under eye appearance.


Chicago Dermatologic Surgeon

Tear Troughs and injections

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It is very difficult to see from the photo but it appears that you might need a traditional blepharoplasty to remove the fat pads under your eyes.  These fat pads are usually genetic and run in families.  Does your Mom have similar "tired-looking" eyes?  Please find a board certified physician who has a great deal in cosmetics for the best results.

Can I fill these teartroughs or will it look worse?

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Its best you schedule an in-person consult to get fully evaluated, there are many different options to help eliminate the tear troughs

George T. Boris, MD, FRCS - Account Suspended
Los Angeles Facial Plastic Surgeon

Filler in the Tear Trough Region

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It is difficult to tell from the photograph if you would benefit from fillers in the tear trough region.  Some products do produce more swelling than others.  Without examining you in person I am not able to give you more information.  It may be worth getting another opinion from an experienced injector.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Tear trough

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Teazerbee, I cannot tell a thing from your photo. I would recommend you see 2-3 facial plastic specialists and get more opinions. Frequently for this problem in my office I'm doing a "SOOF lift blepharoplasty". See my web site for further information. Good luck!!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.7 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.