When Tear Trough Fillers Fail: Expert Reveals 5 Patient Types Who Need Surgery Instead

Are Tear Trough Fillers Right for You? Oculoplastic surgeon Kami Parsa, MD, explains that while tear trough fillers are popular, they aren't suitable for everyone. Patients with under-eye bags, excess loose skin, or fluid retention may experience worsened symptoms. 'If you have eye bags, you're not a filler candidate,' explains Dr. Parsa. He also cautions against fillers for those with allergies that cause eye irritation or those seeking a permanent solution. For these cases, blepharoplasty is a more effective procedure. The video highlights the importance of a proper consultation before treatment.