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hi iamp;#39;m rod roy iamp;#39;m a board certified plastic surgeon in dallas texas and this is a good time to talk about tear trough tear trough fillers and why i hesitate to do them frequently it is so much about the patient selection tear trough fillers should probably only be done in a small percent of patients let me explain why the anatomy is so complex for a teardrop filler as we age we get loss of fat in our entire face and i describe that the science of aging in our journal the plastic surgery journal prs but the most important thing you need to understand is that just because you can does not mean you should so the proper patient the best patient to do a teardrop filler on is one that probably doesnamp;#39;t need hardly anything itamp;#39;s a young patient good skin tone no bulging fat and just has a slight hint of a tear trough medially because thatamp;#39;s the most important and the easiest patient to get a good result the patient that has a tear drop all the way acros
