Who is this procedure for?
Tear trough lipofilling can be suitable for individuals with hollow tear troughs, a pronounced tear trough groove, or shadowed areas without significant skin excess.
The technique can also be considered when small under-eye bags become visible due to adjacent volume deficit.
Associated hyperpigmentation may sometimes appear reduced by the opacification induced by the injected fat.
The decision depends on a detailed clinical analysis of the lower eyelid, skin quality, and patient expectations.
Certain situations may contraindicate or redirect the management.
Consultation Process
Consultations allow for a precise analysis of the mechanisms responsible for tear troughs and under-eye bags.
The discussion covers possible options, including lipofilling or hyaluronic acid injections, depending on the indications.
A clinical examination guides the technical choice and the volumetric strategy.
The expected recovery, potential risks, and timeline for results are explained.
A quote can be provided after the project is approved.
Preparation Steps, Necessary Examinations, Technical Choices, Quotes, Explanations on Recovery
An anesthesia consultation may be requested, along with a blood test focused on coagulation.
Smoking cessation is generally recommended before the procedure, as cell survival can be affected.
Certain medications may need to be discontinued before the surgery.
The donor site (thighs, abdomen, flanks, depending on the case) is identified.
The post-operative recovery and post-procedure instructions are detailed.
The Procedure in Practice
Tear trough lipofilling is typically performed in the operating room, under sedation or light general anesthesia, depending on the context.
The procedure lasts approximately one hour for an isolated treatment.
The harvested fat is prepared and then injected in micro-quantities using micro-cannulas suitable for the thin skin of the eyelids.
In some cases, preparation in fine particles may be preferred.
Cosmetic surgery procedures are not performed within our clinic.
Post-operative Recovery
Pain usually remains moderate, managed with simple painkillers.
Bruising and swelling may appear under the eyes for a few days.
A return to daily activities may sometimes be possible quickly, depending on the recovery.
Post-operative follow-up is conducted to check the graft take and the harmonization of volumes.
Instructions aim to limit exertion and protect the treated area.
Results and Scars
The result is appreciated gradually, with stabilization around three months.
A partial resorption of the fat may occur, varying from person to person.
A second session may sometimes be discussed to optimize the filling.
The scars from the entry points remain minimal and discreet.
The durability depends in particular on weight fluctuations.
Risks and Possible Complications
Like any surgical procedure, tear trough lipofilling carries potential risks.
Irregularities, fat lumps, asymmetries, or fat migration can occur.
Prolonged bruising or infection remain possible, although rare.
Overcorrection can lead to a visible contour under the thin skin.
The use of micro-cannulas and adapted preparation aims to reduce these risks.
Fees and Coverage
Tear trough lipofilling is considered cosmetic surgery.
It is not covered by social security.
Fees vary depending on the surgical context, associated procedures, and anesthesia modalities.
An indicative price range is provided during the consultation, after personalized analysis.
A detailed quote is given before any decision is made.
