Can I Get Rid of my Deep Tear Troughs Permanently? (photo)

The hyaluronic-acid based fillers such as Restylane Silk and Volbella can do an amazing job of filling out under-eye troughs. Though they are not permanent, some can last for up to 2 years or more. If you really do want a surgical solution, fat grafts could fill out your hollows, making you look more rested. Fat grafts are permanent, though there will be some loss of fat after your procedure, as not all of it survives. As for the asymmetry in your eyes, I don't think it is significant. Talking to a facial plastic surgeon about your needs can help you decide on a course of action. I hope this helps.

It's not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, a variety of treatment options exist to treat this condition. These include surgical procedures that release the arcus marginalis and the use of injectable hyaluronic acid fillers that minimize tear trough deformities.





It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.





It's important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but don't represent a permanent solution to this problem. For this reason, when patients want a permanent solution, other options need to be considered.





Procedures that offer a more permanent solution include fat grafting, tear trough implants and procedures that re-position fat pads. The exact procedure chosen will depend upon the patient's physical findings and aesthetic goals.





For these reasons, it's important for patients with tear trough deformities to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Thank you for the question. Tear troughs can be treated with fillers. The droopy eyelid can be treated with one of several eyelid procedures. See an oculoplastic surgeon for evaluation and treatment discussion. 

An injectable filler is probably your best option short term, and long term would be fat transfer or implants. 

Hi,

Thank you for your question.

Upon viewing your pictures, I agree with the other doctors that the best nonsurgical way to go would be through fillers, such as restylane or juvederm. However the best option wuld be surgery with a midface lift plus/minus fat injections.  Your decision really depends on whether you want to go the surgial or non-surgical route. I would recommend consulting with a board certified ocuplastic surgeon.

I wish you the best!

Dr. Speron