15 Feb Tear trough problems
Q: I am having awful problems with tear troughs. I had lower blepharoplasty done years ago, fat removal and skin tightening, but now as I am getting older my skin is thinning and showing signs of age like lines and wrinkles. Would I be a candidate for a second blepharoplasty? Or would something else such as fillers, fat grafting work better? I tried Belotero last year and it was not a good idea.
A: The treatment for the tear trough where there is volume depletion include surgery and fillers. You can certainly get another lower blepharoplasty but will need fat transposition (although it’s unclear how much fat you still have since you had them removed from the previous surgery) or fat transfer to add volume. Another option is to inject the hollow area with a filler such as Restylane. This, of course, is not surgery but something you will have to get every 9 -12 months or so. I recommend that you see a board-certified facial plastic surgeon or plastic surgeon for consultation about this.