Hollow under orbital ligament. Is this fixable with filler? (Photo)

Question

I am 50 and over the years the circular hollow next to my nose and under my orbital ligament has become prominent when I smile. Is this fixable with filler ? What injection points would be used ?

Anna Chacon, MD, FAAD · Answer

The hollowing you're referring to is often termed as 'tear trough' and it can become more noticeable with age due to the loss of fat and collagen in the face. Dermal fillers, particularly hyaluronic acid fillers, can be an effective treatment option to restore volume in this area and soften the appearance of these hollows.
The injection points would depend on your specific anatomy and the extent of the hollowing. Generally, the filler is carefully injected along the orbital rim (the bone under the eye) and massaged to distribute it evenly. This procedure should be performed by a skilled and experienced provider to ensure safety and effectiveness.
However, it's important to note that while fillers can improve the appearance of hollows, they may not completely eliminate them especially when you smile, as this facial movement can exacerbate the appearance of hollows.

Hollow under orbital ligament. Is this fixable with filler? (Photo)

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Hollow under orbital ligament. Is this fixable with filler? (Photo)

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