Should I consider tear trough filler along with cheek filler?

It's difficult to make a recommendation with the limited photo. It is a good idea to analyze adjoining features when considering filler to help blend facial contours. I encourage you to visit with an experienced injector to discuss your concerns and learn what will best help you address them. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

At least from the one cropped photo provided, ti would appear that the use of a robust, HA volumizing filler would not only help to contour a more oval, heart-shaped face, but would likely secondarily improve the under-eyes without even the need for additional filler there. I encounter this kind of situation very frequently in my practice and very often find that no additional tear trough filler treatment is required. The use of a robust HA filler for the cheeks can often yield durable results of up to 1.5 years. I stopped using fat injections a very long time ago. Admittedly, the idea of using one's own fat and the promise of permanent results is enticing. However, the reality is that much of the fat, once separated from its original blood supply in the thighs, abdomen or buttocks does not surprise. What's more the fat injection therapy is relatively expensive process and engenders downtime, since fat must withdraen with large cannulas from the donor sites and injected via large cannulas into the recipient sites. And finally, any fat that does survive this process retains the characteristics of the area from which it is taken, meaning that with the passage of time belly fat will develop a midriff bulge, any fat transplanted into the face that did survive may also develop bulges. You would be wise to consult with a board certified cosmetic dermatologist filler expert. Best of luck.

Tear trough and cheek fillers often go hand in hand because they can complement each other to produce a balanced, natural-looking result. Here's why:
1. Tear Trough Filler: This treatment is used to address under-eye hollows and dark circles. It can freshen up the eye area and make you look more rested.
2. Cheek Filler: This enhances the cheeks' volume, providing a youthful contour to the face and improving the appearance of the under-eye area.
When the cheeks lose volume due to aging, it can make the tear troughs look deeper. So, adding volume to the cheeks can lift the skin, reducing the appearance of the tear troughs. Conversely, if the tear troughs are filled without addressing volume loss in the cheeks, it could lead to an imbalanced facial appearance.
However, every individual is unique, and what works best for one person may not work for another. It's important to have a detailed discussion with a professional cosmetic doctor or dermatologist about your specific facial anatomy, your goals, and expectations. They can provide personalized advice on whether you should consider both procedures.