Will Tear Trough Implants Fix My Undereye Hollowing?

Q: Dr. Eppley, I have always had significant hollowing under my eyes. I am so tired of it! I have done some reading about this, and I really want to consider tear trough implants. I want a permanent fix more than a temporary one. I am curious about pricing for this, if you offer it, as well as can a payment plan be used for it, or does it need to be paid all at once? Please tell me anything you can about this procedure, thank you.

A:Thank you for your inquiry and sending your picture. While this is just a front view picture, and a side view would provide more complete assessment, I believe you have a significant negative orbital vector and pseudo proptosis (your eyes appear to be bulging when in fact the eyeball position is normal but the underlying bony support is lacking). This is a skeletal deficiency issue in which a custom infraorbital-malar implants design is necessary to properly treat it. Tear trough implants, which are small standard implants, were made to treat a very small infraorbital rim soft tissue deficiency which your issue is not.

Dr. Barry Eppley

Plastic Surgeon