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Botox/filler/surgery for prominent under eye tendon? (Photo)

Jena RoseNov 18, 2023
When I smile, what I think is a tendon (tear trough tendon maybe?) sticks out really prominently under my left eye. Whatever it is seems to attach medically at the corner of my eye/at my nose and then protrudes downwards diagonally in a semi circle (like the orbicularis oculi muscle?) to my mid cheek. It looks awful and makes me look much older than I am. Could Botox fix this? Filler? Surgery? It's not just the under eye but there is also a depression medial to the tendon when I smile.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Kamran Khoobehi, MD
Board Certified Plastic Surgeon
Answered on Nov 20, 2023
Answer
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Nov 20, 2023
Answer

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Ralph M. Rosato, MD

You do not have festoons. AN examination is required to diagnose your condition however from the single photo it appears that you have aging in the mid face. This is a combination of laxity of the structures and loss of volume. Treatments consist of fillers, fat graftng or surgery.

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Zoran Potparic, MD

Unfortunately, this is a poor photo that does not show much of the presented deformity. However, it does show that you have very deep tear troughs which will require a transconjunctival lower blepharoplasty. An incision is placed inside of the patient's eyelid, the orbicularis muscle, and tendon...

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Mats Hagstrom, MD (license on probation)

To make an assessment on the outcome of a plastic surgery outcome we need to see proper before and after pictures. If you don’t have pictures then ask your surgeons to forward the pictures they took. All people have facial asymmetry and this is normal. There is nothing obviously wrong with t...

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