I've been rejected by two injectors for tear trough fillers. What can I do? (Photo)

Question

I've been rejected by 2 injectors for filler in tear trough area. Both say that filler won't help the issue. I put arrows in the picture pointing to what area concerns me--which is a deep crease in the inner corner of my eyes. I have heavy concealer on in this picture. I see several pictures on here with people with a similar issue getting this area filled; I don't know what I'm missing here or what can be done. The creases make me look tired & I think got more pronounced after my rhinoplasty.

Hung William Song, MD · Answer

The amount of fillers needed to address your issue will definitely make it look worse because of the Tyndall effect. The light reflecting off the filler under your skin will make it look blue. Also the water absorption can make the filler look puffy. The best option will be to have an autologous fat transplant. This may need to be performed in two sessions because you don't want to put too much fat in there at once either. If performed correctly with fat, you can get some beautiful results.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

From what I can see in the photo, I would have to agree with you. The hollows under the eyes appear to be quite amenable to the use of a filler. I would suggest the upper cheek region be volumized, which would likely result in a significant secondary infraorbital improvement. After that a less robust filler more cohesive filler can be used directly into the tear trough region to further refine and smooth the upper cheek-lower lid junction. I would make sure that you consult with a board certified aesthetic physician with experience and expertise in treating the under eye region with fillers and make sure to ask to see personal befores and afters before agreeing to proceed. Best of luck.

Leonard Grossman, MD · Answer

The injectors were correct in the fact that even though they can fill out the area, it will look even worse after a filler is placed in there. The only thing that you should have placed in the tear troughs and hollow eyelids is your own fat. When fat grafting is performed by an expert plastic surgeon, the results are natural and practically permanent. I hope this helps and good luck from New York City plastic surgery

I've been rejected by two injectors for tear trough fillers. What can I do? (Photo)

Answers (4)

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