Tear trough(bags) from birth. What would be the best option? (photo)

Question

I've always had undereye hollowness since I was a kid. I'm only 22 years old and I just need a way to get rid of them. Idk if I should get surgery or fillers. I'm leaning more on the surgery side because I want them permanent gone.

Mehryar (Ray) Taban, MD, FACS · Answer

There are 3 options for the congenital tear trough deformity you have with significant hollowness. 1) filler injection; 2) fat injection; 3) tear trough implant.  Each has pros and cons. See an oculoplastic surgeon for evaluation.

Sheila S. Nazarian, MD · Answer

Fillers are going to be a better solution than surgery because you need to actually add volume. I would start with a HA filler such as Restylane and see if it delivers the kind of results you want. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Kenneth D. Steinsapir, MD · Answer

They do require maintenance.  However, the treatment can be modified as your face changes over time, which it does.  Surgeries necessarily create irreversible damage so the benefits need to far out weigh the risks and you are not there yet.  Find a very experience injector in your area.

Lee B. Daniel, MD · Answer

The lower eyelid skin is the thinnest skin in the body and ages sooner then the rest of our faces. Since you have had these since birth it is more genetic. You could do fillers for the tear trough or a lower blepharoplasty is going to be the most aggressive permanent way of addressing this area for you. I hope this helps.

Vasdev Rai, MD · Answer

There is no predictable surgery for this issue. Fillers help to some degree. However they alsol require maintaince.

M. Dean Vistnes, MD - Account Suspended · Answer

You look very young from the photo to have or need any surgery and the photo is not ideal to evaluate things but something more conservative like a filler may be far more appropriate. See a board certified surgeon in your area with an expertise in aesthetic surgery for more information. Good luck!Dean Vistnes, M.D.Vistnes Plastic SurgerySan Francisco Bay Area#realself #drdeanvistnes #eyebags #filler

Tear trough(bags) from birth. What would be the best option? (photo)

Answers (6)

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