My under eye area lacks projection and support. Need advice please. Would fillers, fat graft or implants be best for me? (Photo)

Question

Had 2 canthopexies to correct my negative canthal tilt as you can see in the 2015 pic and 3 fat grafts into the undereye area to give more support/projection as i have malar hypoplasia, confirmed by the plastic surgeon who followed my case. I I think i now have a neutral canthal tilt but i have a very tired look and in my opinion this is motivated by the lack of undereye bone support and projection. What would be better for me? fillers, fat graft or malar/submalar implants? Thanks Paulo

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Danielle Shanley, MD · Answer

This is a great question and you could benefit from these treatments. However, filler would absolutely would be a great choice to help give volume in the area of need. Very safe and little to no down time. Always have a personal consultation so you can be walked through the steps needed to direct each area of concern under the eye. 
Thank you for sharing!

Mehryar (Ray) Taban, MD, FACS · Answer

Those are all options with different benefits and risks. Really best to have personal consultation with an expert to determine what is best for you.

Neel Bector, MD · Answer

Hi, thank you for the inquiry. I would recommend you to start with HA Based dermal filler. As you have already undergone invasive procedures. It will help in replacing lost volume and improving skin texture under eye. Please have in person consult with a reputable doctor for further discussion. 
Best Regards,
Dr. Neel Bector

Shaun Patel, MD · Answer

Hyaluronic acid based fillers like Restylane could be used to improve the tear troughs. I would also consider filler injections to the midface/cheeks. The combination should give you a nice improvement. Fat and implants are other options. I will defer to the plastic surgeons with regards to both of these options.

Chadi Dahabra, MD · Answer

Hi ,
  
Thank you for sharing with us this question and image as it will be informative for the whole community here. If you are concerned about sunken areas below eyes then fillers or fat graft can help . The discolor and the look of being tired is different story . Make sure you are getting enough healthy sleep. Also, get a cream that is meant for the under eye discoloration. At our spa , we make an organic fresh cream just meant for that , but you can find commercial ones as well . 
If you need any more details, please let me know.
  
I hope this helps.
  
Chadi Dahabra M.D.
  
Beverly Hills Wellness Center & Med Spa in West Palm Beach, Fl

My under eye area lacks projection and support. Need advice please. Would fillers, fat graft or implants be best for me? (Photo)

Answers (6)

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