Are midface/orbital rim implants a permanent solution to my hollow under eyes?

Question

I’ve had filler before but it gave me white looking bags so I had it dissolved. I’ve always had hollow under eyes, inherited from my mom. I want it permanently fixing so was looking into transconjuctoval bleph with fat pad repositioning or midface rim implants. The only reason I’m leaning toward implants is because I have zero fat under my eyes and not sure there’s anything to reposition. My under eye feels empty! What are my options?

Barry L. Eppley, MD, DMD · Answer

There are a variety of methods to augment the undereye hollows from fat grafts, cadaveric dermis to implants. All have their own advantages and disadvantages. But from an implant standpoint the best infraorbital rim implants are those that are custom made for each patient's unique bony anatomy.

Prashant Murugkar, MD · Answer

hi, I understand your concern about fillers having had a bad experience, but then I would argue that with the thin skin you have and the absence of any fat, an implant might be a difficult thing to blend in. Fat might be a better option, but then there is always a risk that it can go lumpy and then you have to have an op to remove it. Well done dermal fillers are really powerful as they can give precise results, with very little downtime and can last a few years. You have to understand that the bone around your eye socket is changing all through your life, while the implant wont and this might create a problem in the future. Dermal fillers obviate this problem as they can be tailored to the bony anatomy at that point in your life. hope this helps do keep me posted warm regards Dr Prashant Murugkar

Christofer Buatti, DO - Account Suspended · Answer

Is it possible they physician may have chosen the wrong filler.  I would avoid implants and strongly consider using a smaller amount and filler more appropriate for the tear trough areas.  I believe a filler will give you more of a natural look.

Are midface/orbital rim implants a permanent solution to my hollow under eyes?

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Are midface/orbital rim implants a permanent solution to my hollow under eyes?

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