Now, in addition to lower eyelid surgery, tear trough filling is also required, and the regulations for patients of this kind are becoming more and more obvious, especially in recent years when it is quite popular. The key methods for tear trough filling include two: one is injection filling, and the other is surgical method filling. Injection filling is further divided into two types: one is autologous fat filling, which means taking the patient’s own scattered fat from the body and then injecting it, and the other is the injection of hyaluronic acid, which is also a very popular injection method.

For surgical methods, the more classical, like the textbook, is to release orbital septal fat, that is, to release the orbital septal fat of the eye bag itself, and then fill the released autologous fat into the tear trough, which is the current better surgical method. The method of injection tear trough filling is simple to operate, but it is usually difficult to achieve satisfactory results after surgery.

The main problem lies in:

1. There may be partial unevenness, such as poor control of the amount of fat and hyaluronic acid, too much injection, which may be more like the effect of the eye bags, so the patients are not very satisfied.

2. It is not a permanent effect, that is, hyaluronic acid has a certain retention time. Hyaluronic acid generally lasts for half a year to a year. For autologous fat filling, if it survives, the retention time is generally longer, but it also has a certain digestion rate, that is, a certain survival rate.

If the fat survival is good, it is also possible to cause the leakage of fat, reaching a similar situation to the protruding fat bags under the eyes, so the patients are not very satisfied. From the experience of diagnosis and treatment, due to the release of orbital septal fat, the tear trough filling surgical method is often used in clinical practice. comparatively speaking, it is the basic addition of orbital septal fat release and filling in the surgical treatment of lower eyelid, and the patients did not show significant postoperative recovery time, scar exacerbation or occurrence of external bulging, and it will not increase the risk. In fact, after surgery, the lower eyelid effect is ideal, the skin of the lower eyelid is close to the outside, and the tear trough lines can also be improved, so it is still more preferred to release orbital septal fat and fill the tear trough lines.

What causes the bulge under the eyes about ten days after lower eyelid and tear trough filling?

About ten days after the lower eyelid and tear trough filling, there is a bulge below the eyes, which may be caused by the movement and deposition of fat grafting or the hyperplasia of scars within the tissue. The actual cause requires the experience of the surgeon to further differentiate. For patients who cannot have a preoperative consultation with the surgeon, they can make their own judgment. If it is considered to be a mandatory bulge, it is more likely to be the hyperplasia of the periorbital tissue scars, and local heat treatment can be applied to alleviate the proliferation of scars; for soft bulges, it is more likely to be the movement of autologous fat filling, and local massage can be performed to flatten the bulging tissue.

What should be done after the failure of lower eyelid and tear trough filling plastic surgery?

After the failure of lower eyelid and tear trough filling plastic surgery, it is advisable to select a local reliable fixed medical institution for reoperation to improve the condition under strict aseptic testing and the actual operation of surgery, which can help avoid complications of surgery and the risk of surgery and anesthesia, and can also achieve better therapeutic effects.