Tear Trough Correction

Men and women are often vexed by a fatigued, sad or disinterested appearance caused by loose upper eyelid skin, under eye bags, dark circles around the eyes, loose wrinkles under eye skin and hollowed eye sockets. Tear trough correction includes placing implants below the eye to improve the appearance of under eye hollows.

Dr. Rad often combines this procedure with other eye lifting surgeries such as “Fox Eye” reshaping, or canthoplasty, which involves subtle changes in the shape of the eye to lift the outer corners to correct situations where the outer eye may tilt downward. When performed expertly, blepharoplasty surgery (eyelid lift) can refresh the eyes. Dr. Rad’s approach focuses on natural results so that patients appear rested and with hidden scars tucked within natural creases or completely invisible on the inside of the eyelid surface. Combined upper and lower blepharoplasty can often safely be performed simultaneously. These tried-and-true approaches are safe and effective in experienced hands, and Dr. Rad is expert in achieving patients’ goals while minimizing recovery time.

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Other options for tear trough correction include injection of fillers to improve under eye hollows, and fat transfer as a more permanent option.

“Plastic surgery is the craft of enhancing beauty without the evidence.”

- Ariel N Rad, MD, PhD, FACS

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01Artistry

Artistry is at the heart of eyelid surgery because each patient is unique and requires special attention. Dr. Rad’s eye has trained his eye to evaluate faces both holistically and with nuance, envisioning how to restore facial harmony and youthfulness. During consultation Dr. Rad will gain insights from what bothers you the most while weighing on the best plan to achieve your goals. This often requires a combination of procedures with tear trough correction as the primary approach, and lower blepharoplasty and fat grafting to ensure blended contours. Each procedure is intended to correct subtle signs of aging. But keep in mind that the art lies in the hands performing the procedures, not the procedures themselves. Just as a beautiful piano concerto stands in its own beauty, it’s the pianist who brings it to life, some better than others. Likewise, surgeons have different skill levels and aesthetic nuance, and bring to life the best results to varying degrees of ability. The level of artistry required to achieve natural, beautiful and long lasting results requires tremendous nuance. As Dr. Rad frequently says, “millimeter changes throughout the face can synergize beautifully into stunning yet natural results.” These details are reflected in surgeons’ before/after photographs which is why you must evaluate these with an aesthetic eye. You have only 1 face and so listen to your instincts when you look at surgeons’ results.

02Safety

A tear trough correction must be done with light sedation/general anesthesia. Once you are deemed a good candidate, surgery can be planned, and Dr. Rad meets with you a second time to review the details of the surgery, provide prescriptions, review medical clearances, and answer your questions. Detailed pre- and post-operative instructions are provided and you are thoroughly prepped for surgery.

In Dr. Rad’s hands, tear trough correction surgery is safe and extremely very low risk. The procedure is performed in the office while awake and under local injected numbing anesthetic for patient comfort.

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03Technique

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05Aftercare

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Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

The results of a tear trough correction are permanent. However, one must take into account that the aging process will still occur and gravity will continue to affect the lower region of the eyes. Because of this, new signs of aging can still appear where surgery was performed. To see Before & After results, visit our gallery page.

frequently askedQuestions

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Why do I look tired?
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Under Eye bags make us look tired or older. The problem is twofold: (1) protruding fat pockets cause the lower eyelids to bulge out, and (2) deep tear troughs, the indentation that appears underneath our lower eyelids, makes puffiness appear worse. The combination causes dark circles under the eyes which make us look tired or older.

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What is the cost of Tear Trough Correction in DC?
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Many factors impact the final cost of a tear trough correction surgery in Washington DC. The amount of time the surgical session takes, the exact techniques utilized, and the anesthesia administered all play a role in determining the procedure’s overall price.

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