Are These Tear Troughs and What Can I Get Done? (photo)

These are not usually an issue until the 30's or 40's. The actual anatomic cause is still being debated even among experts. However, in a young person, it's often due to flat cheekbones.

There are a number of treatments. Fillers are easiest and have little to no downtime. Sometimes implants to augment the bones can help in a young person with flat bones. In older patients, surgery such as blepharoplasty with fat respositioning into the tear trough is often the answer.

Hi @Dog101. You are correct those are tear troughs and can be treated with a dermal filler like Restylane or Belotero to help lessen the severity of the trough. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Yes, those are "tear troughs" and can be treated with a dermal filler to help lessen the severity of the trough. Consulting with a reputable, well-trained, and experienced provider is your best first step.

Tear troughs can sometimes be genetic or apparent at an early age. HA fillers can be injected into the cheeks/tear troughs to smooth any pronounced hollowing. Conservative and gradual addition of fillers can help to enhance this area with minimal risk if done by a trained professional. 

    Hyaluronic acid fillers (there are several that can suffice) can be used to subtlely improve the tear trough area in younger patients.

Yes, there are tear troughs.  Many young people have them, which is congenital in nature. The best treatment would be filler injection, namely either Restylane or Belatero.  See an oculoplastic or facial plastic surgeon.

Hi Dog.  Yes, your tear troughs are what the arrows in the photo are pointing to.  Restylane is a great product for this area and can help to smooth those lines out. We have treated young patients before as sometimes these lines are present in young patients based on their inherited facial structure.  Good luck.

Now the state of the art for addressing a mid face issue like your is with hyaluronic acid fillers.  The services can last well over a year and can very comfortably placed during an office visit. The product is placed by injection and the most popular products contain local anesthetic.  This makes placement even more comfortable.  If there is an issue with service the product can be modified with an injection.

 

I have worked extensively with tear trough implants of various sorts.  Generally these low profile implants provide only modest be benefit for the risk and effort needed for surgical placement.

 

Different people age in different ways from an early way.  Some patients will look tired and wrinkled under their eyes, others in their nasolabial folds.  Much of these differences are genetic.  If these lines bother you then you can get injected with fillers like Restylane and Juvederm.


You should consult a trained board certified dermatologist for a consultation.

Tear troughs are areas along the medial aspect of the orbital-cheek junction that looks flat of hollow. Thet can be genetic as a young adult but with age, most peoples' tear troughs become more prominent.