Tear Trough Deformity

People as young as 20 years old - and people in their 80’s complain of Tear Trough Deformity (or Crescent Deformity) and the associated dark, under-eye circles.  With age the trough becomes deeper, the circles darker, and tears run down the trough and out toward the side of the cheeks instead of straight down the cheek as when the person was younger.  Along with this, the upper and lower eyelids lose elasticity and start to sag, and fat accumulates under the lower eyelids, making the shadow appear worse and the Tear Trough deeper.  People complain of a Tired Look – Eyelid Bags  - Puffy Eyes – and Eye Bags, and these complaints are often the reason for wanting to “turn back the clock” by rejuvenating the mid-face and eye area.

Dr. Cole is a quadruple board certified Oculoplastic Surgeon who specializes in problems of the face and eyes.  Surgery used to be the only option for correcting Tear Trough Deformity and Eyelid problems  - but today Dr. Cole uses advanced techniques and injection treatments – in combination with surgery when required – to rejuvenate this area of the face and restore a more youthful – natural appearance.

BENEFITS OF TEAR TROUGH DEFORMITY CORRECTION:

• Tear Trough Deformity correction rejuvenates the eye area – safely & effectively
• Tear Trough Deformity correction reduces a “tired look” & “puffy eyes”
• Tear Trough Deformity correction may involve a treatment combination
• Tear Trough Deformity correction employs injectable dermal fillers today
• Tear Trough Deformity correction achieves long-term to permanent results
• Tear Trough Deformity correction is enjoyed by men & women of all ages

TEAR TROUGH DEFORMITY PROCEDURES:
Correction procedures for Tear Trough Deformity vary from patient to patient, depending upon concerns and what is required to achieve the desired outcome.  Dr. Cole uses Juvederm, one of today’s safest, most reliable injectable fillers, to correct Tear Trough Deformity in patients not requiring surgery for correction.  The surgical alternative is Blepharoplasty (lower eyelid lift). If you are not a good candidate for injectable treatment of the Tear Trough Deformity, Dr. Cole will discuss the correct surgical procedure with you. This will be determined, during your personal consultation with Dr. Cole, when he does a thorough evaluation of your condition and makes recommendations to tailor your personal treatment plan.

FREQUENTLY ASKED QUESTIONS:

What Causes Tear Trough Deformity?
Tear Trough Deformity is the result of the skin and muscle of the lower eyelid that are tethered down inside the inferior rim to the periorbita. As we age, the eyes, skin and muscles change to show facial aging.

What Are The Problems Associated With Tear Trough Deformity?
The primary concern is the “trough” that causes tears to roll from the corner of the eye and sideways across the cheek – instead of straight down the cheek.  Other concerns include:  tired look – eyelid bags – puffy eyes and dark under-eye circles.

Who Is A Good Candidate For Tear Trough Deformity Correction Using Injectable?
Nearly everyone of both genders and of every age can be a good candidate unless there is too much under-eye fat accumulation.  Dr. Cole is specialized in procedures and surgeries of the eye and will be able to tell you if you are not a suitable candidate for injection treatment.

Is Dr. Cole Qualified To Perform Injectable Filler Treatments?
Dr. Cole is specially trained and one of only a few surgeons in America who are qualified to train of physicians in Botox treatments – which require much skill and expertise.  Dr. Cole is an “expert injector” for all dermal fillers, and he is an eye surgeon.

How Does Juvederm Dermal Filler Correct Tear Trough Deformity?
Juvederm is a safe, proven hyaluronic acid – smooth gel - dermal filler that replaces lost volume and restores contour to deeper wrinkles, folds and creases.  When injected into the problem area, it plumps it up while the HA stimulates the bodies own renewed production. This is why the results last so long.

Is Pre-Testing Required Before Juvederm Injections To Correct Tear Trough Deformity?
NO.  Juvederm is an all natural, non-animal based formulation that does not require skin testing before treatment.

If Surgery Is Required – What Is Involved For Tear Trough Deformity Correction?
If Dr. Cole deems that surgery is necessary it will most likely be Blepharoplasty Surgery to correct excess, sagging skin of the lower eyelid that is overhanging and contributing to your concerns.  If you are not a candidate for correction by injection treatments, then you may require surgery (instead of injections) to correct the Tear Trough Deformity.

How Much Down Time Is Involved In Injection Treatment For Tear Trough Deformity?
Dr. Cole typically requires his patients to take 3 days off – doing nothing, and then they will still not look perfect but will feel more comfortable about being seen. Overall down time varies with each patient.

What Are The Most Common Complaints After Tear Trough Deformity Correction?
With injection treatments there may be some lumpiness or bumpiness in the lower eyelid if the injector is not well trained or skilled in performing this treatment.  Dr. Cole is an expert in Tear Trough Deformity correction and in using all injectables, so this problem is not common among his patients.

Will Insurance Cover Tear Trough Deformity Correction?
Insurance does not cover cosmetic procedures.  If a procedure is medically necessary it may be covered – so check with your insurance carrier about this.  Financing is available today for cosmetic procedures – so ask about this in our business office.

BOARD CERTIFICATION

Dr. Cole is a quadruple board certified surgeon which means he has met the rigorous high standards and training requirements of four medical boards.  This involved several years more of specialized training and experience in all four areas – in addition to medical school, internships, residencies, fellowship training and vast experience. Board certification does not guarantee a certain outcome, but it does ensure specialized training skill and expertise far beyond the norm.
More about Dr. Cole