Can filler in the tear trough help with a herniated fat pad? (Photo)

Question

Hi! I had restalyne injected in my tear troughs in Dec 16. It improved the hollowness a bit but I needed more. In Nov 17 I went For my cheeks with a different doctor. Restalyne. I asked about my tear troughs and she said it won’t help because I have a herniated fat pad (almost positive that was the term) & the filler may migrate out of place. With the cannula she ended up doing a little to help with the hollowness and I can see it helped again but still there. Is this true? Can it not be fixed?

Vito C. Quatela, MD · Answer

It is my opinion that fillers are best used to treat hollowed tear troughs and loss of volume in the area.  With herniated fat pads, fillers may camouflage the problem but a lower blepharoplasty will address it directly.  There are different approaches to treatment of the fat pad including shrinking or excising the fat or relocating the fat to fill in the hollows.  I recommend you have a formal consultation with a facial plastic surgeon or oculoplastic surgeon who is experienced in lower blepharoplasty.

Aldo Guerra, MD · Answer

A filler in the tear trough can help some patients while it may not help some at all. It really depends on the cause of the problem, size of the fat pad, and amount of loose skin. In your case, I believe there’s a good opportunity for improvement as there’s good looking skin that appears tight. It depends on your exam so see an expert. Good luck! Dr. Aldo

Richard W. Westreich, MD · Answer

Filler can help to camouflage herniated fat pads but only to a point. If the day pad is too large, it can sometimes be more noticeable after filler. This is determined on your exam and it’s hard to tell from just a photo. However, your fat pad doesn’t look that big so it’s possible filler could help.

Monika Soni, MD · Answer

Thank you for your question. The use of fillers in the tear trough area depends on many factors and these include the cause of the problem, size of the fat pad and the amount of loose skin. However, if you have a herniated fat pad filler will only mask it for a short period of time. I recommend having a consultation with a plastic surgeon for the best treatment. Best of Luck!

Michael H. Gold, MD · Answer

Thanks for the question and for the photo.  We always recommend that you have a consultation with a board certified dermatologist or plastic surgeon to first have a thorough exam and second to learn your treatment options. If you have a herniated fat pad, having filler injected may mask that for a short period but if it needs correction, then perhaps that is the best route to go and then see if you are in need of fillers.  See the right provider and good luck.

Can filler in the tear trough help with a herniated fat pad? (Photo)

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Answer: Filler for herniated fat pads

Answer: Can filler in the tear trough help with a herniated fat pad?

Answer: Can filler in the tear trough help with a herniated fat pad?

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Can filler in the tear trough help with a herniated fat pad? (Photo)

Answers (7)

Answer: Filler for herniated fat pads

Answer: Filler for herniated fat pads

Answer: Can filler in the tear trough help with a herniated fat pad?

Answer: Can filler in the tear trough help with a herniated fat pad?

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Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.