A common plastic eye surgery is the placement of a silicone-based tear trough implant under the eye. For those seeking a more youthful appearance, these under eye implants offer a more permanent solution to problem areas under the eye as opposed to injectable fillers. With a tear trough implant you can correct several problems with the look of your eye.

What the Tear Trough Implant Does

Tear trough implants improve the look of the eye from normal aging changes such as wrinkles, hollowness and sagging skin under the eye. The implants can help reduce the appearance of dark under eye circles and lift and fill the skin under the eye. This lifting and filling reduces or even eliminates tear trough depressions, where the lower eyelid droops down toward the cheek, and fills in some wrinkles giving a Under eye surgeryCredit: Flicker: abishek1618more youthful appearance.


Done as an outpatient procedure, patients can go home the same day they have the implant placed. Overall recovery time is minimal. Some swelling and bruising can be expected, most of which will diminish within a couple of weeks. However, some plastic surgeons report that some swelling may take several months to completely go away.

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As with any surgical procedure there is a risk of infection. In some cases the tear trough implant may move out of place. This can result in it becoming prominently seen through the skin and may require an additional surgery to set it back into place. Even if the implant doesn't move, some patients may notice the implant when smiling or squinting. Also, there's a risk that having the implant does not produce the results you were hoping for.

Placement Techniques

Since the development of the tear trough implants, the surgical procedures have evolved. One technique inserts the implant through an incision into the mouth and places it under the eye. It is then screwed to the bone with a very tiny screw. Using a different technique called a transconjunctival approach, your plastic surgeon can place the implant on the inside of the eyelid. This requires only a small cut made by a laser and has a faster healing time and leaves no scarring on the outside of the eye.

How to Get Plastic Eye Surgery

If you are interested in getting a plastic eye surgery you'll need to see a cosmetic surgeon. At the initial consultation appointment the doctor will examine your eyes to determine the exact cause of your dark circles and if you have a true tear trough deformity. This evaluation will help the doctor determine if you are a good candidate for plastic eye surgery that includes a tear trough implant. This consultation is important because you want to be sure that this surgery will give you the results you want. Since this is a cosmetic procedure, insurance probably will not cover the cost of the eye surgery. Be sure to ask about the cost of the surgery so there are no surprises when you get the surgeon's bill.