Fillers or mini facelift - which procedure would help minimize drooping and hollowness after tear through filler? (photo)

Question

33 yrs, healthy active nonsmoker. 55kg. I was previously filled in midface for tear throughs. This filler was placed wrong and over the course of the years i dont know if it stretched my face or what. Another injector dissolved it and now im left with hollows and severe droopiness. I feel i look SO much older. And its affecting my self image. I was injected multiple times in the same place. To takle This hollowness. Is a midface lift okey? Do i need a minilift? Or fill it with fillers again?

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. I’m sorry you experienced unsatisfactory results from dermal filler injections. While you don’t appear to be a candidate for a facelift, you may benefit from an autologous fat transfer to restore volume to the sunken area beneath your eyes. This treatment option uses your body’s own fat to rebuild volume in the face, making it appear more youthful while also improving the quality of the skin. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your injection history, discuss your concerns with you, and help you decide on the best treatment option.

Jeffrey Lisiecki, MD · Answer

Great questions--more standardized photographs or in person examination would be most helpful to discuss your concerns and how they can be improved. Based on your age and description, it sounds like most likely an issue of volume that was restored (albeit incorrectly) and then dissolved, but better views are needed.

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

Ronald J. Edelson, MD · Answer

You are definitely too young for a facelift. You had a bad experience  with fillers. You can try fillers again if you like. Unfortunately the so called tear trough is best off not being messed with.

Darryl J. Blinski, MD · Answer

Great posted photos. I recommend anterior mini FaceLift with SMAS plication with fat grafts or HA fillers to hollows. Fee $10,000. Best to virtual consult with...

Richard P. Rand, MD, FACS (retired) · Answer

That single photo is not helpful as it doesn't give the surgeon anything to go on. Foreward facing no expression ones like you see on our websites are needed. Also, be very careful about injections into the tear troughs of fillers or fat as there are reports in the literature of permanent blindness!!

Fillers or mini facelift - which procedure would help minimize drooping and hollowness after tear through filler? (photo)

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