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 the use of injectable hyaluronic acid fillers that minimize tear trough deformities.
It’s extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient’s anatomic findings and aesthetic goals.
It’s important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but don’t represent a permanent solution to this problem. For this reason, when patients want a permanent solution, other options need to be considered.
Procedures that offer a more permanent solution include fat grafting, tear trough implants and procedures that re-position fat pads. The exact procedure chosen will depend upon the patient’s physical findings and aesthetic goals.