10/01/2026
How do I place a tear trough implant through such a tiny opening? And what keeps it in place?
The approach depends on the patient’s anatomy.
In a younger patient without excess lower eyelid skin, I can place the implant endoscopically through small scalp incisions.
When excess skin needs a skin pinch, I use a tiny entry at the outer edge of that incision to reach the bone.
The implant sits directly on the bone, beneath the periosteum, the thin tissue covering it. I create a precise pocket that closely matches the implant’s dimensions, helping limit movement and rotation as it heals.
The goal is lasting structural support: augmenting deficient bone beneath the eye, supporting the lower eyelid, and creating a smoother transition from the eyelid to the cheek. The implant is intended to remain permanently, although revision or removal can occasionally be necessary.
Preserve above. Structure below.
Have you ever wondered whether your under eye hollowing comes from the skin, the soft tissue, or the bone beneath it?