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Posted under Eyelid Surgery q&a

Best Approach for Tear Troughs?

david_k
I am 30 year-old male with tear trough at lower eyelids, like dark circles. Last year, I developed some small bags that make the dark circles worse. I have no excess skin. I visited some plastic surgeons, and I was offered Restylane injections or arcus marginalis release with fat reposition (not transconjunctival, since bulging fat is very close to tear duct and hard to deal with through that approach). Is this correct? How close to the bone and inner corner of eyelid can Restylane injections go? My grooves start from the very inner corner next to tear duct.

Answers (6)

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Brent Moelleken, MD profile photo
Dr. Brent Moelleken, MD
Answered on Dec 15, 2015
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Dr. Brent Moelleken, MD
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Dr. Guy Massry, MD
Answered on Oct 15, 2017
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Dr. Guy Massry, MD
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Benjamin Caughlin, MD, FACS profile photo
Dr. Benjamin Caughlin, MD, FACS
Answered on Dec 14, 2016
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Dr. Benjamin Caughlin, MD, FACS
Board Certified Plastic Surgeon
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Richard J. Bruneteau, MD profile photo
Dr. Richard J. Bruneteau, MD
Answered on Sep 22, 2016
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Dr. Richard J. Bruneteau, MD
Board Certified Plastic Surgeon
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Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) profile photo
Dr. Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)
Answered on Jun 24, 2016
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Dr. Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)
Board Certified Plastic Surgeon
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Afshin Farzadmehr, MD profile photo
Dr. Afshin Farzadmehr, MD
Answered on May 11, 2016
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Dr. Afshin Farzadmehr, MD
Board Certified Plastic Surgeon
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