I've had a deep hollow in my under eye since a teen, but now the hollows extend to more of my cheek laterally. I've seen a lot of scary things about tear trough filler and the "congential ligament" in people like me that make me wonder if filler could address this problem (I really don't want a super full cheek/pillow face), or if blephleroplasty is an option? I don't have much of a bag or fat to transfer for surgery. Is it too early for surgery yet (42yo)? Am I a good candidate for filler?
January 7, 2022
Answer: Genetic deep under-eye hollows - am I candidate for a blepharoplasty or filler? Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. While Restylane filler may be a reasonable place to start, in a patient with your inherited anatomy, a blepharoplasty will produce the best and longest lasting cosmetic result. 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
Helpful 1 person found this helpful
January 7, 2022
Answer: Genetic deep under-eye hollows - am I candidate for a blepharoplasty or filler? Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. While Restylane filler may be a reasonable place to start, in a patient with your inherited anatomy, a blepharoplasty will produce the best and longest lasting cosmetic result. 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
Helpful 1 person found this helpful
January 7, 2022
Answer: Hollow lower eyelids Please seek an opinion from a surgeon who performs mid-face lifting as a routine part of their lower blepharoplasties.
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January 7, 2022
Answer: Hollow lower eyelids Please seek an opinion from a surgeon who performs mid-face lifting as a routine part of their lower blepharoplasties.
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