Will eyelid surgery or dermal fillers be best to treat tear troughs?


The tear trough is the area below the eye and above the upper cheek bone. The area extends from the inner corner of the eye in a semi-circular arc and it can appear as a deep groove with pronounced bulges of fat above or marked shadows beneath the eye. Patients with pronounced tear troughs often present at Mr Alan Park’s cosmetic surgery clinic complaining that they always look tired and appear older than they really are.

Can eyelid surgery treat tear troughs?

Lower eyelid surgery, known as a lower lid blepharoplasty, aims to reduce the eye bags or bulges of fat that are present on the lower lid. These fat pads are a common ageing concern and often one of the first signs of ageing that present.

Mr Alan Park will either make an incision through the inside of the lid or just under the lower eyelash line. The former is known as the transconjunctival approach and means no visible scarring post procedure. If some excess skin needs to be removed as well as excess fat tissue, then the subciliary approach, just under the eyelash line, is preferred, but the skin under the eye tends to heal very well so and most scars are not visible when fully healed.

Once the incision is made fat tissue is removed although it is important to reduce the fat pads, not remove them completely. Mr Alan Park adopts this conservative approach to his Warwickshire eyelid surgery patients, to avoid a hollowed-out appearance under the eye, which can look equally ageing.

Will dermal fillers reverse the tear trough effect?

The appearance of tear troughs is often made more pronounced by hollowing of the cheek areas as we lose volume and experience tissue sagging in this area. Dermal fillers or fat grafting can effectively restore volume, thereby improving the appearance of tear troughs. In this area, Mr Alan Park often sees dermal filler results last approximately a year, so this can be a popular alternative to surgery.

Mr Alan Park believes in combining cosmetic surgery with non-surgical procedures where required to achieve the best possible outcome for his patients.

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