Purpose: To improve the appearance of the lower eyelid and upper cheek
Incision: Located on the backside of the eyelid
Anesthesia: Combination of local anesthesia and IV sedation
Correcting lower eyelid bags is one of the more complicated facial plastic surgery procedures. In the ideal lower eyelid, the cheek and eyelid blend together seamlessly with increased volume from the smile fold toward the lower bony edge of the eye socket. More often than not, a “bag” is not the result of too much bulk under the eye, but rather too little volume in the upper cheek, thus creating a hill/valley that casts a shadow into a dark circle. In the past, surgeons used to remove excess volume from the cheeks and lower eyelids to smooth out the contours of the face. This method left patients with hollow, skeletonized facial features. Dr. Apostolakis does the opposite, adding volume in strategic areas to smooth out the lower eyelid and upper cheek area.
Tear trough implant procedures take place in our accredited outpatient surgery center, which is attached to our office. The primary concern in correcting lower eyelid/upper cheek problems is not removing what’s there, but rather restoring volume. There are multiple approaches to volume restoration: Restylane, which offers temporary correction for mild cases, and Dr. Apostolakis’ preferred method, Tear trough implants.
Dr. Apostolakis has performed over 1,000 tear trough implants over the past decade In this approach, the implant is placed through the backside of the eyelid, leaving no visible scar. It sits on the bone of the upper cheek/bony rim of the eye socket and blends in with the bone once healed. Tear trough implants have predictable volume, do not change with time, are removable, and work well on men and women of all ages. The implant is made of silastic, which is the same material used in chin, cheek, and breast implants. It is expected to stay in place indefinitely. This procedure can be combined with other facial surgeries, which commonly include upper eyelid and/or facelift.
Before & After Photos:
Bruising commonly occurs as a result of this surgery, and generally subsides within 2 weeks of the procedure. Swelling can take 6-12 months to fully resolve, though the average observer likely won’t notice swelling after 2 weeks. Patients can expect a reduced sense of feeling in the cheek and upper lip area for a couple months after the surgery.
$ = less than $2,000
$$ = $2,000 – $4,000
$$$ = $4,000 – $8,000
$$$$ = more than $8,000