Hollows beneath your eyes can create shadows that make you look tired even after a full night’s sleep. Depending on what is causing your under-eye concerns, fillers or tear trough surgery may help — but they address different problems. At Jaibaji Plastic Surgery in San Diego and Coronado, double board-certified plastic and general surgeon Dr. Moneer Jaibaji evaluates your facial anatomy to determine the approach that will produce the most natural, balanced result.
When Tear Trough Fillers Make Sense
Tear trough fillers are a non-surgical option for under-eye hollows caused primarily by volume loss. Not everyone is an appropriate candidate for filler, and adding volume may not improve bags or loose skin. Tear Trough filler are used less and less now a days due to problems with lymphatic obstruction, persistant swelling, filler migration and other problems.
In many cases a better option is microfat graft or surgery and In many cases the combination of both.
When Surgery May Be the Better Choice
If your concerns involve prominent under-eye bags, excess or sagging skin, or displaced fat, lower eyelid surgery may provide a more comprehensive solution. Lower blepharoplasty allows Dr. Jaibaji to address the underlying tissues rather than simply adding volume.
Surgery involves more recovery than filler, but its results are generally longer-lasting. It may also be a better choice when adding filler could make an already puffy under-eye area appear heavier.
How Do You Choose Between Fillers and Surgery?
The answer depends less on your age than on your anatomy. Two people with similar-looking under-eye concerns may need entirely different treatments.
During your evaluation, Dr. Jaibaji can consider factors such as:
- The degree and location of volume loss
- Under-eye bags or protruding fat
- Skin laxity and elasticity
- Your lower eyelid and cheek anatomy
- Your desired longevity and tolerance for downtime
In some cases, other approaches such as fat grafting may also be considered to restore volume.
Finding the Right Solution for Your Under-Eyes
Neither tear trough fillers nor surgery is universally “better.” The right treatment addresses the actual cause of your concern while preserving natural facial proportions.
Dr. Jaibaji’s extensive experience in cosmetic and reconstructive facial surgery allows him to evaluate both surgical and non-surgical options rather than taking a one-treatment-fits-all approach. Contact Jaibaji Plastic Surgery in San Diego and Coronado at 619-435-1736 to schedule your personalized consultation.
