What is the best treatment to reduce the appearance of deep tear troughs/hollow under eyes? (photos)
Doctor Answers 6
Tear trough or lower eyelid hollow treatment options.
Thank you for supplying your photos and I am sorry that you
have this problem, but it is easily treated.
Filler is unquestionably the best option. The question is what one? The hyaluronic acids are okay for this area
but they have to be placed quite deep to avoid the problem of a blue hue or
Tyndall effect. In addition these
fillers do not last and you will have to keep coming back for more.
I prefer the long term filler Artefill since this filler
will last a lot longer (at least 5 year and probably longer). Artefill has an excellent safety profile and
helps you build tissue to help with any dark skin which is usually just thin
skin that shows the blood vessels underneath.
It cannot be felt and if applied with a cannula, it can literally be
"airbrushed into position to give a perfect result.
I hope that helps.
What is the best treatment to reduce the appearance of deep tear troughs/hollow under eyes?
Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California