I recently got a filler done in the lips and asked if I would be a suitable candidate for any under the eye. The nurse told me because of my high cheekbones I wouldn't be a good candidate for this procedure, she also said my hollows were due to a lack of fat under the eyes. Is there a good alternative? I've heard of non invasive laser therapy and under eye lifts as potential procedures, though I'm not sure of their safety/reputability as it's hard to find much information on them.
December 17, 2016
Answer: Laser, Fat or blepharoplasty Great question. I disagree with your nurse. I think fillers can help. That being said fat is even a better grafting material. In my hands the best results are with a combination of lower lid blepharoplasty with fat transposition and fat grafting. I also like laser for this problem but the results are modest. To make most patients and myself completely happy with the results, a combination of procedures is often required. I have done fat and laser only on patients adverse to surgery. The results are good. You volumize with the fat and then tighten the skin with the laser. Depends on age, skin type and exam to see whether or not you have prominent fat pads etc. Hope this helps. Best of luck, DrC
Helpful 1 person found this helpful
December 17, 2016
Answer: Laser, Fat or blepharoplasty Great question. I disagree with your nurse. I think fillers can help. That being said fat is even a better grafting material. In my hands the best results are with a combination of lower lid blepharoplasty with fat transposition and fat grafting. I also like laser for this problem but the results are modest. To make most patients and myself completely happy with the results, a combination of procedures is often required. I have done fat and laser only on patients adverse to surgery. The results are good. You volumize with the fat and then tighten the skin with the laser. Depends on age, skin type and exam to see whether or not you have prominent fat pads etc. Hope this helps. Best of luck, DrC
Helpful 1 person found this helpful
November 2, 2016
Answer: TearTrough Deformity Management 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 reposition fat, fat injections and hyaluronic acid filler injections. Each of these approaches offers advantages and disadvantages.It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patients anatomic findings and aesthetic goals. It's note worthy that your pictures demonstrate the presence of fat pads.It's important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but don't provide a permanent solution to this problem. When a permanent solution is desired, fat injections may be an acceptable alternative.In someone like yourself with prominent fat pads, arcus marginalis release with fat re-positioning is probably the best treatment option. The 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 3 people found this helpful
November 2, 2016
Answer: TearTrough Deformity Management 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 reposition fat, fat injections and hyaluronic acid filler injections. Each of these approaches offers advantages and disadvantages.It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patients anatomic findings and aesthetic goals. It's note worthy that your pictures demonstrate the presence of fat pads.It's important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but don't provide a permanent solution to this problem. When a permanent solution is desired, fat injections may be an acceptable alternative.In someone like yourself with prominent fat pads, arcus marginalis release with fat re-positioning is probably the best treatment option. The 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 3 people found this helpful