Mehryar (Ray) Taban, MD
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Mehryar (Ray) Taban, MD
Oculoplastic surgeon | Views: 53048

Friendname: mytaban
Business Name: TabanMD
Website: www.TabanMD.com
Location: 435 N Roxbury Dr, #104
Beverly Hills, CA 90210
United States
Telephone: 310-278-1839
Languages Spoken: English

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Ask An Expert > Mehryar (Ray) Taban Message Board > Fat injections tear troughs?
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Fat injections tear troughs?
I am a 32 year old caucasian woman with relatively pale skin. I bruise easily. I have dark circles under my eyes (tear troughs) and am considering fat transfer to address this. I was advised to look into this by a qualified surgeon trained under Dr Coleman. My questions are: How proven is the technique? How many days can I expect to be 'unpresentable' for? When can I start doing exercise again? Any advice / guidance is welcome.

Oculoplastic surgeon
Beverly Hills, CA
United States
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tear trough filling  November 28, 2012 9:27 PM

Fat transfer can work great for most of facial hollows and some parts of the lower eyelid hollows but not close to the thin eyelid skin area. For the latter, you need finer filling material, namely Belotero or Restylane. Lower blepharoplasty may also work if you are the right candidate. See an oculoplastic surgeon.

Plastic surgeon
Miami, FL
United States
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  November 29, 2012 6:11 AM

The injecting doc SHOULD respond to ALL your questions/concerns. But here are my answers: Very proven to correct the hollow effect. From a few days to a few weeks. After a few days. My best advise is fully understand the treatment.

Plastic surgeon
New York, NY
United States
View My Professional Profile
  November 30, 2012 2:02 PM

Fat transfer is the BEST WAY to treat tear troughs, period. I don't quite agree with the Coleman approach, but someone who has A LOT of experience and consistently good and permanent results would be a good choice for your surgeon.
Being trained, does not mean a good surgeon.
Good luck from NYC

Plastic surgeon
Park Ridge, IL
United States
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Fat injections for tear troughs  December 1, 2012 11:54 AM

Hi! Thank you for your question,

I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). I am also certified with the American Board of Plastic Surgery.

Fat injections in tear troughs are a proven technique however the tear trough is a very delicate and tricky area to treat with fat transfer. Approximately 40 to 60% of transferred fat will live after transplantation. It takes about 5 to 6 months for the fat to settle.

Fat injections are often done as multiple treatments. Some results are better in the first treatment while other patients have results better in subsequent treatments. Generally, at 3 weeks following the procedure, you should have an impression of the final result. However, it will take somewhere around 6 months to truly know the permanent effects of the surgery as it does with any facial surgery.

As for recovery time resolution of the swelling and bruising is variable. Some people do not bruise at all while others have bruising for 2 to even 8 weeks.
After the first week, limit yourself to activities that are comfortable. No strenuous aerobic activity for 4-5 weeks after surgery. No contact sports for 6 weeks.

Here is a direct link for additional information as well as a lot of before and after pictures.

If you have any further questions, please feel free to call us at 847.696.9900 for a private consultation.

Thanks for your question and have a great day!
Dr. Speron



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