Under Eye Hollows - Comparing Under Eye Filler, Tear Trough Implants, and Fat Grafting

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New York oculoplastic surgeon Amiya Prasad, M.D. reviews why grafted fat is often perceived as the ideal filler; the complications associated with fat grafts under thin lower eyelid skin; why tear trough implant material is long lasting, but does not adapt to aging changes of the body; the different materials used for under eye fillers; and why the brand of filler doesn’t determine results, but the doctor’s technique and experience do determine the final outcome:

0:22 - Introduction to addressing under eye hollows, and dark circles

0:49 - How patients frequently request permanent treatments for hollow eyes

1:23 - Dr. Prasad details his background training in cosmetic oculofacial plastic and
reconstructive surgery, as well as his experience as a facial rejuvenation specialist

1:44 - The different types of permanent fillers

1:52 - How permanent fillers are difficult to fully remove in case of infection

2:02 - How hyaluronic acid filler can be dissolved using hyaluronidase

2:11 - Why grafted fat is often perceived as the ideal filler

2:39 - How fat grafting is performed

2:54 - The risks of fat grafts under the eyes

3:08 - How fat grafting removal surgery is a technically challenging procedure, and can require additional procedures to maintain proper eyelid support, and function

3:44 - How tear trough implant material lasts long-term, but are not truly permanent since they don’t change with the body

4:45 - How the brand of filler is not as important as placement technique

4:51 - How Dr. Prasad performs filler injections using hyaluronic acid fillers

5:06 - How placement technique can help make filler feel like bone

5:11 - What Structural Volumizing is

5:19 - How Dr. Prasad minimizes the chance of bruising by using blunt cannulas instead of needles

5:31 - How hyaluronic acid fillers are metabolized naturally in the body

5:52 - How fillers are more accurate, and precise than tear trough implants

6:10 - Conclusion

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