Ep 28 How to Treat the Tear Trough & under eye area | Dr Angelo Tsirbas

Episode 28 hosts Dr Angelo Tsirbas again (Oculoplastic Surgeon from Sydney, Australia) He specialises in eye lid (blepharoplasty) surgery, brow lifts and complex orbital reconstruction work. In the second of three episodes with Dr Tsirbas, we'll explore how to go about treating dark circles, the tear trough, eye bags and the indications for lower eye lid (blepharoplasty) surgery. *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height,0px))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" data-turn-id= "request-69c4e055-cf80-8321-bb5b-e7abe90214a6-3" data-testid= "conversation-turn-424" data-scroll-anchor="false" data-turn= "assistant"> 0:00 Introduction 1:03 Meet Dr Angelo Tsirbas 3:19 Overview of Lower Blepharoplasty 5:16 Differences Between Upper and Lower Eyelid Surgery 9:44 Common Patient Complaints and Treatment Goals 11:56 Understanding Causes of Dark Circles 14:01 Importance of Accurate Diagnosis 16:30 Puffiness and Fat Repositioning Concepts 18:16 When Surgery Is Not Necessary 23:53 Non Surgical Treatments for Tear Trough Concerns 27:02 Fillers and Skin Quality Improvements 30:22 Challenges of Treating the Tear Trough Area 33:44 Cannula Versus Needle Safety Discussion 37:39 Fat Grafting Considerations Around the Eye 41:39 Transconjunctival Approach Explained 45:36 When Skin Removal Is Appropriate 48:05 Preserving Fat for Long Term Aging Outcomes 51:43 Recovery Time and Healing Expectations 57:32 Long Term Aging and Tissue Preservation 1:01:04 Causes of Pigmentation in the Tear Trough 1:03:30 Role of Ligaments in Eyelid Anatomy 1:07:48 Surgical Release of Ligaments 1:12:19 Performing Upper and Lower Blepharoplasty Together 1:16:00 Patient Driven Treatment Decisions 1:19:56 Overview of Surgical Complications 1:22:22 Risks of Removing Too Much Tissue 1:25:07 Lagophthalmos and Inability to Close the Eye 1:27:43 Eyelid Retraction and Ectropion 1:30:37 Muscle Damage and Functional Problems 1:33:59 Rare Complications Including Vision Changes 1:36:53 Importance of Following Post Operative Instructions 1:39:25 Reinforcing Patient Compliance and Communication 1:42:10 Managing Healing Expectations 1:44:30 Treating Crepey Under Eye Skin 1:48:40 Non Invasive Skin Quality Treatments 1:53:30 Realistic Outcome Expectations 1:55:45 Differences Between Structural and Skin Concerns 2:00:30 Influence of Skin Thickness and Genetics 2:03:05 Managing Ptosis After Anti Wrinkle Treatments 2:05:40 How Alpha Adrenergic Eye Drops Work 2:10:55 Supporting Patients Through Temporary Complications 2:13:30 Role of PRP in Periorbital Rejuvenation 2:18:00 Variability in Treatment Response 2:20:15 Managing Long Term Filler Complications 2:23:40 Encapsulated Filler and Surgical Removal 2:26:30 Increasing Demand for Aesthetic Treatments 2:30:10 Final Advice and Patient Safety Considerations 2:33:45 Contact Details and Wrap Up ALL LINKS & CONTACT INFORMATION