Should I do tear trough filler or lower bleph? (Photo)

Deciding between tear trough filler and lower blepharoplasty involves considering both the extent of your concerns and your comfort with potential risks and outcomes. Here are some factors to consider for each option:

Tear Trough Filler:
Benefits: Non-surgical, minimal downtime, and immediate results. Filler can effectively address minor volume loss and provide a subtle improvement.
Risks: Although generally safe, fillers can cause temporary side effects such as swelling, bruising, or, in rare cases, vascular complications.
Longevity: Results are temporary, typically lasting 6-18 months, depending on the type of filler used.

Lower Blepharoplasty:
Benefits: Offers a more permanent solution for both volume loss and fat pad protrusion. Surgery can provide a more dramatic and long-lasting improvement.
Risks: As with any surgery, there are risks, including lid retraction, scarring, and infection. Recovery time is longer compared to fillers.
Suitability: Given your concerns about minor volume loss and tight under-eye skin, it's crucial to weigh the potential benefits against the risks. The second opinion suggesting you are a good candidate indicates that surgical intervention could address both volume loss and fat pad issues effectively.

Considering your situation, if your primary concern is minor volume loss and you're wary of surgical risks, starting with fillers might be a prudent approach. They allow you to evaluate the aesthetic improvements without committing to surgery. However, if you desire a more comprehensive and lasting solution and are comfortable with the surgical risks, a lower blepharoplasty could be appropriate.

Ultimately, the decision should be based on your personal comfort with the risks, desired outcomes, and discussions with trusted medical professionals who have evaluated your specific case.

A lower lid transconjunctival blepharoplasty will remove the bulging fat pads and give you a smooth lower lid with no scars. Fat grafting to camouflage is less reliable.

You have several options to address the under eye area. Fillers can provide an improvement in the contour, but are temporary. AccuTite is a minimally invasive procedure that is safe for this delicate area. It uses RF technology to stimulate collagen production giving longer lasting results. It can be combined with fillers for a more complete look. A lower blepharoplasty is the surgical option to remove skin and address contour concerns.

Transconjunctival lower blepharoplasty is the surgical removal of under eye bulging fat pads through an incision on the inside of the lower eyelid. Based on your photos, you may indeed be a good candidate for this, however, an examination would be necessary. I hope this helps! Sincerely, Dr. Joseph

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Yes, using filler for volume loss under the eyes generally carries fewer risks compared to surgical options like transconjunctival blepharoplasty. While fillers can provide a more immediate and less invasive solution to restore volume and improve the appearance of under-eye hollows, it’s important to choose a skilled injector who understands the delicate area around the eyes. Fillers can effectively smooth out minor volume loss without the risks associated with surgery, such as lid retraction or longer recovery times. However, the results are temporary, typically lasting from 6 months to 2 years, depending on the type of filler used. If you’re seeking a non-surgical option with minimal downtime, fillers could be a suitable choice for your concerns. I hope this helps and best of luck!