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.
Answer: Many options
Helpful 3 people found this helpful
Answer: Many options
Helpful 3 people found this helpful
Answer: Tear trough fill Hi and thanks for your great question. I think that surgery can be done but you may have a suboptimal result as you have more hollow than fat (substrate) to reposition and fill the hollow. After surgery don't be surprised if you still need filler as a top off. Filler only avoids the need for surgery and may do the trick for now. Get a good evaluation and don't be pushed into surgery - best...
Helpful 1 person found this helpful
Answer: Tear trough fill Hi and thanks for your great question. I think that surgery can be done but you may have a suboptimal result as you have more hollow than fat (substrate) to reposition and fill the hollow. After surgery don't be surprised if you still need filler as a top off. Filler only avoids the need for surgery and may do the trick for now. Get a good evaluation and don't be pushed into surgery - best...
Helpful 1 person found this helpful
December 14, 2016
Answer: Tear Trough / nasojugular ligament There are many causes of eye bags/tear trough deformities. Some are shadow issues, some are discoloration issues. Restylane can go medial but you want some demarcation medially or it will look odd. Below I copied the title of a few good articles you can pull up on google scholar if you are interested. These articles were given to me by a colleague and I use them in treatment protocols. You seem to know a lot about this so I think it will be helpful for you. Even further below are some notes about causes and treatment options.
Helpful
December 14, 2016
Answer: Tear Trough / nasojugular ligament There are many causes of eye bags/tear trough deformities. Some are shadow issues, some are discoloration issues. Restylane can go medial but you want some demarcation medially or it will look odd. Below I copied the title of a few good articles you can pull up on google scholar if you are interested. These articles were given to me by a colleague and I use them in treatment protocols. You seem to know a lot about this so I think it will be helpful for you. Even further below are some notes about causes and treatment options.
Helpful
September 22, 2016
Answer: TheTreatment Of Tear Trough Deformities It's not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, a variety of treatment options exist to treat this condition. These include surgical procedures that release the arcus marginalis and the use of injectable hyaluronic acid fillers that minimize tear trough deformities. It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.It's important to realize that lower eyelid filler injections can be very effective for treating tear trough deformities, but aren't for everyone with this condition. In some patients, the lower eyelid skin is extremely thin and for this reason, injectable fillers aren't always indicated. In this situation, injections may be accompanied by nodules and bluish discoloration.When patients have excess lower eyelid fat, arcus marginalis release and fat repositioning is appropriate. This procedure is associated with excellent clinical results.It's important for patients with tear trough deformities to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
September 22, 2016
Answer: TheTreatment Of Tear Trough Deformities It's not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, a variety of treatment options exist to treat this condition. These include surgical procedures that release the arcus marginalis and the use of injectable hyaluronic acid fillers that minimize tear trough deformities. It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.It's important to realize that lower eyelid filler injections can be very effective for treating tear trough deformities, but aren't for everyone with this condition. In some patients, the lower eyelid skin is extremely thin and for this reason, injectable fillers aren't always indicated. In this situation, injections may be accompanied by nodules and bluish discoloration.When patients have excess lower eyelid fat, arcus marginalis release and fat repositioning is appropriate. This procedure is associated with excellent clinical results.It's important for patients with tear trough deformities to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
June 24, 2016
Answer: Tear Trough Approach Thank you for your question. My patients love Juvederm filler (Restylane, also being a good filler), a lot of them will have filler for hollow eye, this is a great temporary solution. Like yourself, a lot of patients have bulging fat pads, therefore I would advise a transconjunctival blepharoplasty with fat repositioning would be beneficial. Please seek out a board certified plastic surgeon in your area with an expertise in blepharoplasty. All the Best!
Helpful
June 24, 2016
Answer: Tear Trough Approach Thank you for your question. My patients love Juvederm filler (Restylane, also being a good filler), a lot of them will have filler for hollow eye, this is a great temporary solution. Like yourself, a lot of patients have bulging fat pads, therefore I would advise a transconjunctival blepharoplasty with fat repositioning would be beneficial. Please seek out a board certified plastic surgeon in your area with an expertise in blepharoplasty. All the Best!
Helpful
May 11, 2016
Answer: Eyelid surgery many options. Lower lid bleph transconjuctival with smoothen the lower lids. Fillers such as Restylane done appropriate would also helps. Both of these procedures require expertise for best results.
Helpful
May 11, 2016
Answer: Eyelid surgery many options. Lower lid bleph transconjuctival with smoothen the lower lids. Fillers such as Restylane done appropriate would also helps. Both of these procedures require expertise for best results.
Helpful
