I have unsightly bulges under my eye that are visible only when I smile. I previously had tear trough filler which had been completely dissolved. I don’t know if they’re fat pads or something else? What would be the best procedure to get rid of these?
September 16, 2024
Answer: Dynamic impact of smiling Personally, I try to avoid surgical intervention for variables that are due to dynamic facial expression. I usually make assessments based on static or expression less facial appearance. Trying to correct something that only occurs during smiling is highly complex and is often difficult or not possible to achieve. Trying to minimize the bulging or skin redundancy under your eyes when smiling can have a negative impact on how you look when you’re not smiling. Smiling muscle, lifting your cheek, and this creates redundancy in the midface under the eyes. There’s also usually some contraction of the orbicularis muscle that contributes as well. Crows feet can be minimized with Botox, but will not impact the skin redundancy from zygomaticus contraction. Would you describe is typical and normal. I suggest not having intervention for this, especially surgical irreversible manipulation. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
September 16, 2024
Answer: Dynamic impact of smiling Personally, I try to avoid surgical intervention for variables that are due to dynamic facial expression. I usually make assessments based on static or expression less facial appearance. Trying to correct something that only occurs during smiling is highly complex and is often difficult or not possible to achieve. Trying to minimize the bulging or skin redundancy under your eyes when smiling can have a negative impact on how you look when you’re not smiling. Smiling muscle, lifting your cheek, and this creates redundancy in the midface under the eyes. There’s also usually some contraction of the orbicularis muscle that contributes as well. Crows feet can be minimized with Botox, but will not impact the skin redundancy from zygomaticus contraction. Would you describe is typical and normal. I suggest not having intervention for this, especially surgical irreversible manipulation. Best, Mats Hagstrom MD
Helpful 1 person found this helpful