Why I Stopped Filling Tear Troughs... | Surgeon Reacts

[@bonkling]

Gavin is an incredibly honest and kind doctor. I went to him as a male, looking to have some filler work done (around the jaw/chin) - after reviewing my case, he ended up talking me out of it and gave me my money back. Explaining that I didn't need the adjustment, and helping me realise I was just fixated due to scrolling Instagram endlessly. He is truly a great doc

[@sarahhasleton5689]

Having integrity is invaluable from someone you need to put so much trust in!

[@biazacha]

@@sarahhasleton5689 sad times when we’re pleasantly surprised that a doctor, of all jobs, have integrity.

[@sarahhasleton5689]

@@biazacha that is a great point! Regardless, there is a noteworthy difference between doctors who primarily do cosmetic work and doctors who do something like pediatrics.

[@aretonsenner6664]

You surrendered your man card right?

[@bonkling]

@@aretonsenner6664 you need a card to prove you're a man? How awkward

[@myusernameisyara]

As a med student, it never fails to amaze me how there is always more to learn in this field and you make it a lot more fascinating than boring and tiresome

[@drgarylinkov]

Thanks!

[@courtneycoley8487]

Agree. I loved working in Plastic surgery

[@sarat8577]

And as a non medical anything, I am also very fascinated and never find this stuff boring.

[@tThisNThat]

A doctor who thinks they know it all, is not a doctor I would want anywhere near me. :) Good to learn in the beginning.

[@Saiege]

You should see how plastic surgery was done in ww1-2! Absolutely insane how far medicine has come. I'm reading a book called "The Face Maker" by Lindsey Fitzharris

[@EloquentlyEse]

I really love the way you make your videos. Don't take this the wrong way, but it's a good break from the overzealous, over-excited youtuber style I'm used to seeing. Just professional and to the point. I appreciate it! 🙌🏾

[@drgarylinkov]

Thanks! Just being myself 😉

[@AndSoWeLaughed]

And clear! Always very clear on things that could be very complex.

[@HappyDogsAndCrafts-y3q]

Agree!

[@flight101]

EXACTLY!!!! I would really trust this bloke with my surgery and he is so different!!!!! x

[@RebellePuella]

I also enjoy the tone of his voice and pace of the videos! Quite relaxing along with informative

[@radioactive_sunflowerz2450]

I've always had very deep-set eyes so I would naturally always seem to have"shadows" under my eyes so I tend to look tired more often. Like any girl growing up I'd criticize certain aspects of my face and it was only until my grandma died that I realized that i looked a lot like the grandma I adored so much growing up. Now I love my facial features because I got them from my ancestors and it is something that connects me with my family which is a really beautiful thing. Definitely made me realize that the way we see ourselves can be really marred by our own thoughts, when we can actually be beautiful and not know. I grew up always envying my mom and grandma because they were both very beautiful women but I didn't realize that I looked like them just in a different way. Once I looked at pics side by side I definitely saw the family resemblance, though I felt sad that I didn't realize it before my grandma passed, since she would always tell me how beautiful I was.

[@sabrina.natalie]

That’s such a beautiful and reflective statement. Thank you for your vulnerability. I also feel the exact same way. I feel like I’m the perfect blend of my parents. I have my mom’s eye shape and her eyebrow shape, and I have my dad’s round cheeks, he and I have similar noses, and a similar mouth shape. So I couldn’t imagine messing any of that up, or re-arranging my entire face to look like a carbon copy of a Kardashian/Jenner sister. People are missing out on their unique features that ties them to their ancestors - just like you’ve mentioned. It’s pretty disheartening.

[@OnyxxRose]

Love this message!

[@peopleplacesandperspective5564]

What a beautiful story of accepting your natural beauty! Thank you for sharing.

[@samha3797]

I have a similar story, I always, like since I was an infant had noticable tear troughs and felt really insecure about them since my friends didn't have them. until I realized that basically half my family has them and I thought that they were beautiful regardless

[@kam0406]

Wow! This is so beautiful. Your grandmother would be so proud and so moved to hear you say this💗

[@jamesavery3727]

I'm glad you reacted to him. One of his most popular videos is "why I stopped filling faces..." with almost 3 million views. He talks about how he worked with a radiologist to scan faces and how they noticed residual filler in the scans lasting upwards of 10 years. Interesting stuff!

[@90210bryan]

It was definitely an interesting video to watch. I saw it after I got my under eye filler 😂 ngl I had amazing results. It's been 4 years and it still looks freaking amazing. I was always getting comments that I looked tired or sad and wouldn't take pictures because of how dark my under eye area was. My doc at Highland Park Dermatology in Dallas was awesome, wish I could remember his name... My doc def used the canula. Tbh even if it didn't come out 100% I still would've taken anything over those dark circles it was so bad and I couldn't handle the comments anymore.

[@theresnowaydude]

@@90210bryan Don’t you just looooooveeee the “You look tired” comments? I am tired- tired of hearing that. why would you even say that to someone?? thanks?????

[@ah5721]

@@90210bryan I heard of this , and thought about it. i use lots of makeup to conceal it and would like to get it . mine is genetic

[@WYGTYA]

@@theresnowaydude Back when I used to put on VERY light makeup, whenever I would go to school without any ; One of my teachers always used to ask me « omg you look tired » I never really understood why she asked me that when it was obvious I just didn’t have any mascara and eyeliner on…? Lol

[@sensitiveone8305]

The first time someone asked me if I was getting enough sleep I was 8 years old and got 10 hours of sleep a night. With age the puffiness is worse, but oh well.

[@hannahramirez7953]

This year I went to get Botox for the first time in my life and was talked into getting under eye injections. I always hated my dark circles so I thought “why not?” I ended up getting a full syringe of Juvaderm split between both under eyes. The difference felt immediate. I’d never looked so rested. Months later I swear there’s a dimple I never had before in the area where my tear trough meets my upper cheek bone. There’s also the appearance of under eye wrinkles I’ve never had before. This video has me fearing what my face could look like years later if I’m already noticing odd side effects. Doing my research now, I know I’ll never do it again.

[@smedmark1]

Get it dissolved. At least this video lets you know what to look out for.

[@inuchan74]

Yes I'd get it dissolved before it here is more damage.

[@80s_Boombox_Collector]

Botox can also have consequences. Yes it reduces frown lines, but it can also give you an owl-like look several months later, because if you inject right above your nose, you're essentially preventing that part of the forehead from lifting up when you lift your eyebrows, while the rest of your forehead is free to lift up. So, eventually you develop semi-circular lines above your eyebrows because they are free to lift up in that area, but the area directly above the nose will be perfectly smooth. It's not a good look. For an example, look for photos of Carlos Ghosn, I suspect he's had too many injections in that area.

[@sabrina.natalie]

@@80s_Boombox_Collector - Oh wow. That’s actually a good point that I hadn’t thought of, until you mentioned it. I just googled Carlos, and now I see what you mean. Thank you so much for the insight!

[@MA-zg2pz]

@@80s_Boombox_Collector not exactly. That’s if you only get one location. Rarely does one do just one spot and then head home. Doctors usually do small amounts of Botox on various parts of the forehead.

[@zy510]

You know a plastic surgeon is in it to help people and not for the money when they make (or are interviewed for) videos covering the little-known complications of certain procedures. I haven't had any work done, but I've considered it many times and I super-appreciate surgeons like you and Gavin who talk about these things. So if I ever do get something done, I'm informed from more sources than just whoever is performing the procedure. Thank you for your work, Gary! :)

[@autohustles]

@@Dandelion_flight Manhattan-based, highly skilled, high prices, no?

[@bash547]

Yes, no work done yet… just researching 😉

[@Jeremy4366]

@@Dandelion_flight I'd rather pay for quality up front than to scramble to pay and fix a botch job

[@Dandelion_flight]

@@Jeremy4366 I understand but not everyone can afford. I see a very reputable doctor with very good reviews at a more affordable cost. Doing our own research is truly important.

[@Jeremy4366]

@@Dandelion_flight fair but I mean also understand not all can afford and hell I'm nowhere in the position to afford but hey all I'm saying is if someone is looking for cheaper they usually care about the price first and the work being done second and honestly if it's my face I would save money and work or do anything in my power to prevent a botch job then to have to spend probably way more on getting something fixed potentially by an even more expensive specialist doctor but that's my opinion not saying every doc who is less expensive is worse but often times with this kinda stuff you definitely get what you pay for

[@peepo2560]

Dr Chan seems like a very reasonable and ethical surgeon. We love to see it.

[@beyedoc]

Eye doctor here. That's also why people with allergies or a bad experience with significant eyelid or facial edema get what used to be called "Dennies lines". The skin of your eyelids is some of the thinnest skin in the body, so the risk of over-filling, then the area over time "deflating" to even more stretched skin and wrinkles is the best case scenario in a procedure like this. Then of course are the worst-case risks to function or permanent vision loss...It's just not a good option. First, do no harm... Dr. Gary, I appreciate you going over this topic and approaching all of your videos and patients with strong ethics. Brandi Edit: Dr. Chan just said, "First, do no harm." 💕

[@drgarylinkov]

Thanks for sharing doc!

[@SLSpencer]

Hi What do you think about upper eyelid filler for hollowed eyelids

[@12day1]

Im 30, have horrible allergies and dennies lines =(

[@pessoinhacansada6900]

@@12day1 Me too! I look like a zombie since I'm a child.

[@wheres_wolfie]

What would you recommend for this problem then? Mine are so bad and I haven’t taken pictures of my face in the last 3 years because of it

[@catarinaventura9364]

Huge respect for these doctors that admit and talk about procedures that turn out to be less than perfect. This is the way to build trust. Thank you.

[@jaquitavulpix3418]

I love that this is 'reaction content' that isn't in bad faith and sensational. Very calming to watch. I think cosmetic surgery is so fascinating, but it always rubs me the wrong way when people try to uncritically praise every single procedure.

[@drgarylinkov]

Just wait for my buccal fat removal video ;)

[@maleficara]

When I was little I fell in a school bathroom. The fall caused one of my front teeth to go through a portion of my bottom lip and break off at the gum line. Being a military dependent I was taken to the local hospital and they discussed the procedures. My mother immediately refused the treatments and insisted they let a plastic surgeon look at the wound as a second opinion. Looking back on it now I am ever so thankful that at 40 years old there is barely a scar. Because of the skill of the surgical team the scar is all but invisible and they managed to almost entirely preserve my natural lower lip line. I was bullied for plenty of reasons as I grew up, I am thankful that facial scars and lasting damage were not added to the bag of topics. I am so truly appreciative of Doctors who think of the whole life and presentation and experience of a plastic surgery patient.

[@biazacha]

People put a stigma on plastic surgery while forgetting cosmetics is a small part of the practice… I had a procedure done to my feet and to a burn, will always be grateful for the results.

[@reginaschellhaas1395]

@@biazacha A friend was attacked by a dog. Her ear was ripped in half, from the outer tip, downwards. A plastic surgeon resident sewed the 3 layers with 147 stitches. The scar is very difficult to notice. Marvelous work, so glad she was "on call" at the hospital ER.

[@lindsey1639]

You know what? I had a similar fall in my early 20s and my two top front teeth went through my bottom lip! And I still have a puffy scar from that! However, I was very lucky that the scar is right under my lip in the natural shadow and can only be seen if I tilt my head back. Your mama knows her stuff!

[@Candy-O1776]

Me too! I tripped running to give the dog a bone and fell on new construction, the rebar went through my lip and tongue. My Mom asked for a plastic surgeon to fix it. We had great Moms, eh? God Rest her Soul!

[@radioactive_sunflowerz2450]

Yes, people forget that plastic surgery isn't always cosmetic or at least not for superficial reasons, my mom had breast cancer and had her breasts removed, so she had a plastic surgeon to get implants and her nipples tattooed on. Technically it was cosmetic since she didn't need to have implants or the tattooing but since she used to be a really curvy woman it was really important to her self esteem and body image. The lady who did her tattooing said this was her favorite part of working in plastic surgery, that it made her remember why she got into the field.

[@JadeyChi]

I watched the original video and I quite liked it, it takes some really large cojones to say that you've changed your mind on a procedure you've been doing for over a decade

[@Lmcv82]

A truly ethical doctor, showing his mistakes so others won't do them, and backed by science not personal opinion.

[@catherinenelson4162]

Cojones: equals balls.

[@juthzaid527]

I wasn’t expecting to read cojones here. Hahaha

[@henrymorse4288]

I actually had the filler oozing out under my eyes and they were real puffy it was almost a year later. I didn’t know what was wrong. I got it dissolved and had a flatness under my eyes . I did end up getting cheek filler but in my cheeks not under my eyes. Just use concealer the right way and looks better. Too scared to get under eye surgery.

[@peacefulolive24]

Filled my tear troughs a year ago due to them being extremely hollow. I guess I dodged a bullet because I'm very happy with the results! I wasn't expecting perfection, I just wanted to not look tired all the time.

[@anat.5046]

And are you still happy with them? I’m in such a dilemma..:

[@peacefulolive24]

@@anat.5046 sorry for the late reply! Yes I'm still happy with them and I haven't added any more fillers after more than two years. My under eye area will never be perfect or exactly flat, and I think that's the attitude you have to go into it with if you're gonna be pleased with the results.

[@KooblyK]

​@@peacefulolive24 Can you recommend the doctor who did your injections?

[@peacefulolive24]

@@KooblyK Sorry, I live in China! Hope you find a good doctor!

[@anononnl]

I HAVE seen this video from Dr. Chan and several others of his. I'm very impressed with him, his knowledge and his obvious care for his patients.

[@drgarylinkov]

Agreed!

[@lasantuzza777]

i’ve always had these under eye hollows and most of everyone in my fam does too. it’s very common if you have mediterranean genetics. i got filler there once and it looked amazing for about a week or two. then completely went back to how it was before. however, for about a year or two after, i would experience random “flare ups” of pain and a slight puffy bump that would appear and then go down in the area below my tear troughs. i don’t think i’ll ever mess with filler again. just practice good health and skin care habits and embrace my own unique beauty. nothing is without risk and i’m just grateful nothing more severe happened even with something i was told was so incredibly low risk

[@littlemissgroove]

Really ? I have them..they appeared when I got to about 40..sort of hollow and dark...I'm part Mediterranean so you think that's why? Never heard of the link before

[@lp.222]

Me too random swelling for years

[@Gorg-h5k]

Then arab genes 😭😭

[@binkao2938]

I went to the “expert” in my country for this procedure. She did all the celebrities. I asked for the minimum amount of filler, but she decided to add more. It’s been over 5 years and it’s still swollen and sticks out more than I would’ve been happy with even as initial result and this filler was only supposed to last 8 months. I hate it. Don’t get this done. I might have saggy bags and wrinkles after I get it removed, who knows. ☹️

[@mamaj4002]

Thank you so much for your valuable advice and for sharing your experience. Sending ya good vibes love 💕

[@AndromedaChace]

Get it dissolved when you can!

[@laraoneal7284]

Bunka O. What brand of filler did ur dr use??

[@elsaucelloron1922]

I got Juvederm injected and have had a big lump that seems to be migrating :(

[@tiggercampbell6198]

but you would never have been happy..admit it. you were beautiful already..

[@emas6922]

The more I watch your videos the more I am happy with my body. I did consider getting fillers and thanks to your videos and some other videos from other doctors I really think that I do not need anything done and I feel so happy with the way I look. Thanks for everything that you are doing ♥️

[@Justin73791]

I feel like this video was a good balance of presenting the negative effects of the procedure, without overly demonizing it. I hope medical practices as a whole continue to look at things more objectively.

[@texannadeb5005]

I had tear trough filler that was placed too superficially. The filler attracts water. For various reasons my tear troughs have swollen enormously, to the point that I could see the swelling just by looking down...no need to look in a mirror. This has happened about 5 times over the last 3 years. (Yes, the filler is still there after 3 years.)Each time it happens, the swelling goes down again and my skin is terribly stretched and I am left with a saggy bag of skin under my eyes that is worse after each swelling. I don’t know if anything can be done about the mound of stretched out skin. My eyes were always my best feature. I am sick over this. Don’t do it!

[@sunaleexo]

Oh dear, why don’t you get it dissolved so that it stops happening ? I’m so sorry :(

[@texannadeb5005]

@@sunaleexo You’re right...I should’ve had it dissolved a long time ago. I read a horror story about the hyaluronidase once and it scared me off, but I think I am going to go ahead and try it. I saw a doctor who thinks he can then tighten up that under eye skin again with a CO2 laser. It will mean a little down time but I think it will be worth it. Thank you for your comment.😊

[@dianeberlin5969]

@@texannadeb5005 I had mine dissolved and it just went back to normal and looked like it did before the filler

[@texannadeb5005]

@@dianeberlin5969 That’s good to hear!

[@staycasual7203]

@@texannadeb5005 I had mine overfilled over a period Of 2/3 years (2 treatments per year of Juverderm), and initially it worked and looked better but years after my last treatment it then left me with a horrible stretch mark under each eye and really saggy skin with the Tyndall effect also. I’ve recently had AccuTite and Morpheus8 to try and tighten and rejuvenate the skin. 3 weeks on it doesn’t look great but hoping over time and t improves. My advice to anyone consider under eye injections DONT DO IT!!

[@mharzelcuspanio5025]

I basically learned to be contented with myself and how I look. I guess I’ll just live with these under eye bags

[@debbielockhart7762]

I had tear trough implants put in. Looks fantastic.

[@yelloe]

But dont people get fillers under the eyes bc they have hollows? Not bags?

[@MariaH-qr3uu]

Same! Had thought about it but I’ll live with it

[@fitnessbyxeni1794]

Same

[@klickingkayasmr7585]

@@yelloe Excellent question-that’s what I thought as well

[@annalisajohnson5759]

Thank you for highlighting how non-surgical options do in fact have some fairly severe risks. I think there’s been a reputation that has been built that fillers and other non-surgical options are simple and fairly risk free and reversible.

[@over50andfantabulous59]

I'm an old granny who won't have these things done. However, I like watching these videos to see the before and Afters and your reactions to these procedures. Much love from Oregon.

[@pdxtravis]

I’m from Oregon too, God bless you Jesus is coming :)

[@sabrina.natalie]

I love your username! It’s so adorable! 🥺 I’m 27, so I still have a few more decades to go, before I reach the 50 club. Can’t wait though! Aging, getting older, and living a long and beautiful life, is such a blessing. It’s a miracle that we wake up everyday, leave our homes, and make it back safely. Sending lots of love your way, sweetheart! 🦋

[@donotlendbookstome7923]

I’m a person with congenital dark circles. When I was a kid, my mother used to criticize it about me, and when I was in middle school, my friends used to refer to it as something I needed to fix with concealer. When I was about 25, I realized that since it was a structural thing about my face, no amount of concealer was going to make it really go away, and I gave up trying, and just sort of got used to them. Now, they don’t bother me at all, and I really like my face. I’m sure if I had realized that fillers were an option back when I was in high school, I would’ve wanted them; but there’s nothing actually wrong with my tear troughs. They’re not “deformed”, and my face looks good (unless you’re dissecting the individual features and assessing them critically, based on makeup tips you read in Seventeen). Like, the features on my face all work together nicely. I’m glad I didn’t futz with them.

[@mary-janereallynotsarah684]

I have dark circles too. I definitely don't want filler. It sucks some teens start messing with their faces needlessly. 😕

[@turntoyou]

Mine were so bad my mom forced me to start wearing makeup at like age 7 so people would stop asking her if I was sick. I don't know what she was thinking. I never accepted them as normal, although I'm trying now.

[@labornurse]

To an Aussie, it's not just "filler" it's "FILLA!"

[@yumyumlolly]

🤣 didn't realise until I tried to pronounce it myself LoL

[@jacklambert2607]

"Feela", mate!

[@victoriaelsa3127]

Awesome 🤣👍🏻

[@smallbeginning2]

And spak filla = foundation 🤣

[@SexyBeautifulBabe]

@@jacklambert2607 mite*

[@stardresser1]

Is it ok that I'm getting a crush on Dr Gary? His integrity, his demeanor, his voice, his presentation..dang he's just a HOTTIE, in so many ways. Take notes gentlemen!

[@requiredparticular6831]

I’m very glad you make these videos! I’m a therapist and some of my clients with body dysmorphic disorder have unfortunately resorted to illegal means of getting filler and have greatly regretted it to say the least. Hopefully your videos will make more people think twice.

[@drgarylinkov]

We have a video on the dangers of DIY filler

[@mypuppygurl]

I like that the doctor is so honest. Now that's rare! Character is everything in a human being!

[@robinhazen8034]

Facial rejuvenation procedures can be such a benefit to people when done safely, by a doctor who understands the balance & poetry of the natural face. Great discussion about a procedure I've never heard of before!

[@RustySpoons6490]

Beautifully put.

[@Alice-fr1ef]

I am so happy to know there are doctors that really care about their patients. My primary care doctor is like this and he is a very good doctor, Thank God.

[@annemariemattheyse808]

I’m a medschool dropout - too arty farty to get through with my sanity intact! But I have an enduring interest in sculpture and the human form that has led to a solid appreciation for good content on plastic surgery, like yours, Dr. Linkoff! Always a pleasure to learn from someone so knowledgeable. I’ll be adding Dr. Chan’s videos to my roster now too!

[@drgarylinkov]

Thanks! Looking to collaborate with an artist to build some cool large sculptors related to what I do, hard to find an interested artist!

[@platedlizard]

Medical artist is an actual field. If medicine wasn’t for you but art is you’d might want to looking into that

[@natalien.9528]

I've had tear troughs filler several years ago, because I had very obvious lines since I was very young and it always made me super self-conscious. I was happy with the results, because the lines dissapeard and I looked more awake and healthy. In that summer I did get slight puffyness but that was still better than the tear trought lines I had before the treatment and I didn't regret it. Now years later, the results still last, I did not get another treatment, so yes, the filler lasts years. My filler migrated a little bit more down and closer to the nose. The placing of the filler now is not ideal, but it still looks better than without filler. I would do it again anytime, because the results, while not perfect, are still much better than my eye area without the filler. And the migration of the filler is not really obvious to people, only I notice.

[@lostandfound5145]

I also had it done about 3 yrs ago and I loved the results. It’s fully gone just recently so I’m going to have it done again. I also had a teeny bit of migration and was told to sleep on my back to avoid smooshing my face for hours at night while sleeping. I massaged a little and the filler looked great for years.

[@kerirobicheaux6629]

I had mine filled about 10 years ago and a lot of filler is still there. I LOVED what my plastic surgeon did for me, but I respect your views concerning this area, and enjoy watching and learning through your videos.

[@axa5005]

10 years?? What type of filler did they use/

[@victoriousgray5479]

What type of filler did you get and what age did you get them? :)

[@milenamilic8817]

are you happy with how it aged with you?

[@LivelyDays23]

@@axa5005 honestly it was probably regular filler. Filler sticks around for a long long long while. We still don’t know how just how long filler lingers, but it’s definitely in the years range.also because of the whole absorbing of water and fine skin around the eye even a little bit of filler could still produce results.

[@nomdeplume2213]

​@@LivelyDays23 yes, i think the number one cause of problems with filler is when too much is used. little is better than alot.

[@littlelotte06]

I love how you explain everything. I saw your video on Marzia's face and the way you normalize facial asymmetry really touched me. Thank you for being honest about these procedures and what you do for your patients.

[@drgarylinkov]

Thank you for kind words! Don’t forget to subscribe ;)

[@larissabelova7562]

I’m grateful for this video. It is like receiving a second opinion from the highly qualified doc without spending efforts and resources. Thank you!

[@Sandrilyonaify]

I have undereye circles and tear troughs all my life, l'm 34 now, but I've been concerned about them since like I was 15. I'm researching this topic since I'm older, have some funds to actually do something about this insecurity. I watched Dr. Chan's video a while ago and actually thought that it's best to leave this alone XD

[@zaianasr2432]

Its refreshing seeing everyone in a discussion be honest actors about it.

[@anh1192]

Oh great…I had 0.8 mL Restylane (total) filled in both troughs 3 months ago, and I’m very happy with the results. Hopefully results remain as they are 🤞🏼🙏🏼

[@WoodlandT]

I had more than that over 5 years ago & never had any problems that I’m aware of. That said, I haven’t had it redone because the most significant improvement didn’t last much past 6 months. I’m sure some was absorbed & some migrated. I count myself lucky to have had no issues. It would be too expensive & risky to continue filling the area. Seems unwise to push my luck. Of course everyone is different. Hopefully you don’t have any problems either

[@manukoehne7408]

Its been a year since ur comment, did u get another Treatment of restylane or any other HA-acids for the tear troughs? How long did the filler last before the visible improvements disappeared

[@evaweiss9557]

Dr Gavan Chan is such a refreshing change! He is honest, doesn’t come across as an ego maniac, genuinely cares about his patients and takes pride in what he does. He is so rare….Considering the work that he does. I’m so glad you watched his video, it gives you an opportunity to learn and improve too! He was the first Dr to get his clinical paper published about filler not dissolving. You said, you’d ‘heard’ about this. You had heard about Gavan.

[@kaylaboland637]

I really like his videos, he seems like someone who genuinely cares about his patients and I'm glad that he makes these videos and that you react to them!

[@rozinan7400]

Oh yes I definitely need to know why not to remove buccal fat!

[@dhamarsnchez]

Same!!

[@sam8898]

Because it makes you age quicker. It hollows the face which also happens as you get older

[@sunnybutter2364]

Not only it ages you significantly (look Mary Kate and Ashley Olsen) but also it's one of the hardest procedures to "reverse" - meaning it's difficult to fill it up later with natural effect. And apparently many people regret buccal fat removal as they start to age - at least that's what I heard from surgeons on sm. Also my personal view - it often looks off and completely different than natural skinny and delicate face. I have some fat on my face and I'm satisfied with it, just have to keep those cheeks from sagging with regular massage and I'm good.

[@Introvertsan]

Because it ages people and they look much older. It gives you a sophisticated elegant look but ages you simultaneously way before time.

[@drgarylinkov]

Filmed it! It will be edited and released soon, maybe a week or two.

[@marissa6214]

This is something I’ve considered doing in the future... my mind is now changed and I feel good about that! Thank you for making such a complete resource!

[@Dbb27]

You’re a very beautiful young lady. One thing I think is young women pick themselves apart like chickens. You’re perfect just as you are. I look at college age students; they’re all so pretty and youthful looking. As I head into my seventies I find it sad that this culture of physical inspection has gotten worse.

[@TheCorrkyme]

Absolutely love that he reacted to this Dr. Chan’s video! It’s amazing seeing doctors be honest and vocal about the potential down falls of certain procedures. I was thinking of getting tear trough filler when I came across Dr. Chan’s video.

[@jpd9415]

Why can't doctors be the way you are? Calm voice, Calm demeanour, educated, and explaining things easily. Keep it up!

[@MT-yx5cu]

Im so happy one of the doctors addressed the fact that deep tear troughs,or deepset eyes as I call it, happen to younger people as well although Dr. Gary kept pushing the notion that it was just AGING thats causes it. I've been struggling with deep tear troughs since I was an adolescent and I have thick African American skin. The same with my family and also those with Hatian, Ethiopian and similar ancestry.

[@courtneycoley8487]

I've had them since I was a little girl

[@courtneycoley8487]

I have tahitian ancestry

[@MT-yx5cu]

@@courtneycoley8487 thanks for informing me

[@ClarissaBczky]

I watched a video some days ago about fat transfer from other part of the body to the eye circle. I think this is the best method not the filler. Please make a video about fat transfer! 🙂 I'm really interested in it!

[@Candy-O1776]

I was given that as part of my quote on face and neck lift. I went back over what he said and set up another appointment to ask more questions about that a a couple other things. After watching these videos, I have learned so much! Thank you!

[@susanastrid]

Thank you for the video. Love You and love Dr. Chan. Dr. Chan’s video on the durability of hyaluronic fillers caught my attention previously. Since watching it, I’ve heard several people in the cosmetic industry saying filler only last months. I wish all involved in injecting filler were accurately informed.

[@storkbat]

I love Dr. Chan...he is so straightforward, honest, etc...Thank you for covering his video with your thoughts...really enjoy your videos as well...Important things to talk about for those who do the procedures as well as those who may have them.

[@BoringTroublemaker]

I’ve had extremely deep tear troughs since I was a young child. Looking at picture of me from 2nd grade, I look like I’m extremely sick. These damn things have frustrated me my entire life. If I ever got any kind of cosmetic procedure, it would probably be this. I get that people can have unrealistic expectations but honestly, if you have lived with this problem this severely for your entire life, then even a small but not complete improvement would make a huge difference.

[@morgangauthier8248]

i remember going to a practitioner hoping to get this done when i was about 20 yrs old and he refused (i had a plump face with no trough issue turns out i just had body dysmorphia)😂 but i know many would have just taken my money and probably left me overfilled and looking strange… sooo thankful to him and all the honest doc’s out there. insecurities can make you so vulnerable to the greedy! thank you so much for making these videos i find them so interesting and insightful!

[@244hayrick]

I'm 43 years old and I'm getting more conscious with my under eye wrinkles. I'm planning to have either filler or botox to fix this insecurity but after watching this and Dr. Gavin's I don't plan to do it anymore.

[@virginiabaer1110]

Applaud these plastic surgeons who decide not to do certain procedures and to say no to patients. I respect them.

[@bunniewood]

Ive had tear trough filler a few years and lucky for me the procedure worked really well for me and I loved it tbh. I wont do it again knowing what we know now but I'm grateful it worked for me

[@lauralvw8445]

Same here

[@olya1195]

He seems like an amazing doctor and person, notice how he hasn't changed anything on his appearance, doctors who do these kind of procedures they never do it on themselves because they know..

[@nightmaresandbutterflies1058]

So true.

[@kinga6606]

I love your calm voice

[@drgarylinkov]

Hahah thx

[@kinga6606]

@@drgarylinkov Woow, actually the subject was very very interesting ^^ And scary also :o

[@klickingkayasmr7585]

🎯🎯

[@AllieAndPeach]

I've always loved that part of the face, it's so expressive and can make someone look so vulnerable

[@mariaandres530]

This is a very accessible and informative way to spread this kind of knowlege and put it into light. As very few patients would go read the publications. Thank you for the commentary

[@Mariah-kp5xs]

Yes please discuss fat transfer!! I can’t find any recent videos about this and I’m considering it for my sunken/hollowness under my eyes

[@drgarylinkov]

Will do it’s on the list.

[@nperegri]

Look up Dr. Rajani on you tube. He's another popular derm/plastic surgeon and he has a good discussion of the pros and cons of fat transfer vs. fillers.

[@jessicasumargo6547]

It makes happy whenever you upload! Your commentary is always super informative and honest, it's truly appreciated. I'm excited to see your channel growing over time😊

[@drgarylinkov]

Thank you so much!

[@katesmith4658]

I had tear trough fillers and am happy with my results. But, my plastic surgeon was very honest about what it could accomplish. He made it clear that it wouldn’t get rid of the darkness under my eyes but it can soften the creasing under my eyes from the hollows and could keep any hard overhead lighting from making my under eye circles look worse. But was clear that I would still have dark circles and if I wanted the dark circles gone I’m wasting money with fillers because it won’t accomplish that. I decided some improvement was better than nothing and had the filler done. I’m happy with my results because my doctor gave me realistic expectations. Don’t trust anyone that tries to talk you into things or promises perfection.

[@Peanut_Butter_Beatrice]

Really looking forward to the buccal fat removal video! I'm the type who stays chubby cheeked no matter how much weight I lose, so I've been considering this for years.

[@ponejito24]

Please do get someone who knows what's it's doing I have a college classmate who did that and got horrible results, please look for a good professional.

[@kuritheking]

Remember, chubby cheeks are still beautiful. There is no shame in having a rounder face. Everyone stores fat differently!

[@cuttlefish5065]

you will loose the fat naturally in your 30s, buccal fat removal gives you +10years of optical aging - and you have to balance out all the removed fat with fillers, when you get older don't do it

[@sarahfernandes3140]

Me too. No great change after I hit my 30s, so I still consider it, but I’m not sure what are the consequences long term.

[@Peanut_Butter_Beatrice]

@@sarahfernandes3140 Same. I'm turning 40 soon and my BMI has always been on the low end of normal. But if you look only at my face (passport, driver's licence, etc), it looks like I'm maybe 10-15lbs overweight, just because of all the fat in my cheeks 😑 But I also still hesitate on surgery because of concern over potential side effects, so I really need more info🙏

[@helenbunnehmummeh5154]

I have no plastic surgery nor personal experience of injectables but I found this video fascinating. I really appreciate that Dr Chan is openly investigating on his own practice, and Dr Linkov gave a fantastic explanation and breakdown to make the concepts discussed easier to understand. Well done.

[@aprilmckinney5320]

Can’t wait for the buccal fat video!!!

[@klove33]

Same!!!

[@drgarylinkov]

The video is out! kzbin.info/www/bejne/ipSkfXqhdslkkMU

[@disguisedboots]

i really like the hollows under my eyes, they're pretty severe too. i had no idea people have an issue with that

[@drgarylinkov]

Nice! Love yourself. I’m all about it.

[@audio91000]

Same here!! I actually kind of like the look. I know alot of kpop stars get fat injections under their eyes because they like the puffy look. It's all about perspective

[@chocolatecharley99]

@@audio91000 I didn't know that that's what kpop stars got done! I was always wondering how so many people can have that much volume under their eyes while I always had a little hollow. I think it's cute too... maybe I should get the fat transfer instead of an implant.

[@AM-kr4pv]

I think it makes me look kind of like a sexy vampire when they look particularly distinct.

[@laurameixner2897]

I agree.Looks good on my face

[@Shizukanexen]

I have always had a deep tear trough (I didn't know that's what it was called.) and it's always made me uncomfortable. I really appreciate you going over this cause it makes me feel much less self-conscious about it.

[@Shizukanexen]

@Grace Asher-Creekbird Homestead I've had them since I was a teen.

[@kuuttinen]

I think especially with tear throughs you should be very careful with the amount of filler used, as well as what type of filler you use, otherwise the end result can end up either puffy or uneven. Patients should listen to their doctor if they say it's enough, going to another doctor who just "pumps it in"for cash..well, if it ends up looking bad you were warned.

[@mentak2593]

Yes, it requires a very light touch.

[@MamaBearHomeschools]

I'm 41 and haven't had anything at all done, in regards to plastic surgery, yet. However, I've started saving as I know I want to have some things done by the time I'm 50, but I just didn't know what. I'm so thankful for your channel as I just continue to learn very useful information, that can help me make an informed decision. Plastic surgery is expensive and I want to make a choice but I'll be happy with both financially and physically. Thank you for your channel!!! I may have to make my first trip to New York when the time comes, just so I can be your patient!

[@goodiegoodygumdrops]

Are you wanting fillers or a facelift?

[@MamaBearHomeschools]

@@goodiegoodygumdrops A chemical peel, rhinoplasty, and facelift. I also have these weird fat pockets between my breasts and my shoulder that I want to get removed. Even at my skinniest they were present.

[@Georgeツ]

I had no idea of these dangers/complications. Seems like they aren't even providing physicians with accurate information during their education. Seems like they're out there navigating the best they can, with the BS they were told, and learning the truth along the way. Thank you for lifting the veil on plastic surgery.

[@ivyknights2238]

I'm a hard True Crime community viewer, somehow you ended up in my algorithm. I I'M SO GLAD YOU DID.. I am definitely drawn in by your incredibly fluid, almost therapeutic explanations. As well as breakdowns of the ins and outs of the plastic surgery branch of medicine. I have pinkish/ light sun damage on my chest from 12 years of having a career that involved being outside partially, regardless of the hundred proof sunscreen I put on. It's really the only area on me that I'm not satisfied with as I have worked very hard to maintain everything else. I literally have an appointment to go in to do the ultrasound on my chest that I have yet to set a date on. I now realize that I really need to consider, that even the most basic treatments can clearly have some very damaging effects. I'm all about research. I also have yet to even look to see if you've already featured a sun damage video. All the same, thank you Dr. Linkov, thank you so very much.🌻

[@limitedtime5471]

I'm so sad tear trough filling procedure is not as great as it seems. I appreciate these videos that show the dark side. I was ready to put my money down asap

[@racingchick2424]

Thank you for sharing this information. I was debating on getting filler in the undereye area but after watching this, i think its best for me to just have a proper skin care routine and get enough rest.

[@jcd5211]

I really appreciate your laid back positive manner of communication. I see why you make a great cosmetic surgeon. You listen well. You point out positives as well as negatives. You seem genuinely concerned about your patient’s happiness. You are well spoken and seem exceptionally knowledgeable about your craft, and I can see where if you run into surprises on the operating table (which I’m sure happens from time to time) you wouldn’t stress about it. I thought of mentioning it because everybody likes a little positive reinforcement.

[@kimbershark]

I've had my tear troughs filled and I definitely needed a whole syringe under each eye! I've had harsh lines under my eyes since I was a kid. I would get asked constantly if I was tired or using drugs 😞 it was a major insecurity of mine. Filler helped a lot...but it's not "permanent" and I for sure want to get more soon.

[@SLeXii]

How was your experience? I'm thinking of getting it done.

[@kimbershark]

@@SLeXii I really liked the results! It didn't hurt that bad at all either. I would get the permanent filler though that way you're not having to go back every 6 months.

[@axa5005]

Same!! I used to wear huge glasses to try tide the harsh lines. I’ve gotten under eye fillers three times over the span of about 5 years and I plan to get more when needed

[@InvitationtoAmy]

I had Restylane filled in my under eye (she filled deep using a candela (sp?) and inserted in my cheek moving upward towards the indent.) that was 2018 and the results are still probably 85 to 95% there. I have had zero issues, thankfully. Other than I was told it was last one year… and it’s been much longer. If and when it fades completely I will definitely want it again, it gave me so much more confidence! Ohhh but these videos make me concerned.

[@courtneycoley8487]

It's most likely bc u have deep eye sockets. I have had them since I was very young too & my 6 year old daughter has them as well

[@stevenwest000]

All these doctors and surgeons on here are fantastic and genuine

[@drgarylinkov]

Well maybe not all but thanks.

[@cweretelnyk]

Hi Dr. Linkov! I thoroughly enjoyed the initial video when it came out and really enjoyed your insights today. While I'm looking forward to your buccal fat removal video I really hope you'll consider doing a video on some of the devices and procedures you mentioned towards the end of this one, as you sober and balanced views would be thoroughly appreciated by many people out here.

[@drgarylinkov]

The video is out! kzbin.info/www/bejne/ipSkfXqhdslkkMU

[@cweretelnyk]

@@drgarylinkov Thank you! 🙂

[@vister6757]

What was great is the fact that these doctors are making videos to talk about the possible issues and risks of filler on lower eyes.

[@bronzergoth7598]

i'm one of those people that's had eye puffiness and tear troughs since childhood (thanks, anemia!) and things that help a lot are cold compresses and STAYING HYDRATED! that's why they're worse right after i wake up. I swear I de-age by 10 years over the course of the day as I drink more water, lol

[@nataliamiles7109]

I was the same way until I had the upper and lower surgeries to remove the extra fat and some nipping and tucking. Here we are 30 years later, and my eyes still look young at age 64. I am so happy that I had the surgery!

[@riproar11]

I had my tear troughs filled over a period of two years and I noticed a big difference. Later in the second year, sometimes fluid would accumulate below my left eye socket bone area and remain there for hours. I worked remotely so no one ever saw it, but it happened maybe three times. I stopped because the eye filler looked like straight lines piling up. I believe the reason I had dark circles was from eating too many carbohydrates and sugar from dressings/sauces on food. I don't have dark circles anymore as a result of drastically reducing those in my diet.

[@shakespeare5418]

please your voice is so soothing + the way you present all this information is so engaging

[@weronikaoliwiawijas]

I’ve always felt putting filler under eyes is not the best idea. I prefer microneedling and carboxytherapy in that area, cause it really does make skin thicker to some degree, so lymphatics are a little less visible. I’ve always had dark circles (mostly due to my very fair skin colour), but after these procedures I’ve seen a significant difference, I look more rested. And also, good eye cream with retinol is helpful too.

[@jacquelinea.charette-bassi2745]

I'm so glad I found your channel in my feed! I definitely understand about how thin the skin is under your eyes (I'm 65) and of course have some jowling and the lines in my forehead and others and sometimes think it'd be nice to 'fix' them. But now after seeing this and how fillers can last, and possibly migrate, maybe putting in a foreign body into our bodies that isn't medically necessary might not be the best idea and time to watch more new makeup techniques to hide the 'flaws". Bottom line is to definitely visit a facial plastic surgeon before doing anything! I also agree with all the commenters, your delivery is definitely a breath of fresh air and extremely informative. I definitely will be looking forward to watching more of your videos.

[@BrynDonovanWriter]

I am not interested in plastic surgery for myself, I'm not against plastic surgery in general, I literally don't care at all, I just enjoy hearing someone talk about their area of expertise, and you have a nice voice. :)

[@hannaheicher2557]

I am a PA in plastics and the way that you just articulated the propensity for swelling... wow I am going to copy that verbatim when educating my patients!

[@skyword5508]

You are a most wonderful pro resource for us students of the University of KZbin - thank you for your generosity in sharing your expertise!

[@evereve1]

Thank you and Dr. Chan about talking about the problems of filling tear troughs. And also buccal fat removals. It is so important to know the risks and the possible side-efects. Your and Dr.Chans videos are the reason why I don't consider those 2 operations anymore. I could have regret having them a lot.

[@marmarc4203]

Boy I have to save my money and go to this doctor. He is so Genuine and the way he talks like he would really take the time with you and not rush you in and rush you out like a herd of cattle.

[@Halberd45]

Thank you I need this procedure regardless of the risks. I have a bulldog type face my tear troughs past my nose. It is hereditary and I was treated like a freak all my life amd today have no friends. Tbh I'm willing to blind myselt to fix the issue bc it will mean I will finally get accepted into society unstead of bullied. literally everyone's motive upon interacting w me is "kill it" I'm not viewed as a human in a human society. I only feel normal when I wear sunglasses thank God for them but I definitely notice the difference and I can't wear make up in humid weather. So yeah I am gonna do a provedure for undereye regardless of risk bc my life quality is pretty much zero. I am happy when I'm alone in my house bc im not being hated on as a freak and trying to find a remote job.

[@nafowler]

The ethical questions are super interesting. Thanks for your videos. I think for patients it’s actually pretty difficult to assess a doctor. I would totally trust you by the way you talk, your concerns, your expertise when listening to other doctors etc but now I realize I would do tons of research before considering any procedure. But now I know where to start!

[@summersez1673]

I think Dr. Chan is brave to speak out about why he has chosen not to do these injections any longer. Hats off to him. I believe this definitely should be a choice made by the doctor on risk vs. benefit when the risk outweighs the benefit only because most patients don't have the vast knowledge required to compare the two. This was a very interesting video.

[@alexrader5822]

I am grateful to listen to these videos because it makes me realize just how extreme these procedures are, and that i don’t want it for myself. Its making me so squeamish just listening!

[@alexandraflores9651]

Would love to hear why you stopped doing buccal fat removal! It’s something i considered getting but i heard some negative things about it

[@drgarylinkov]

Will do

[@melissag8270]

I’ve heard Lorry Hill discuss that it can actually age women faster in some cases because we rely on that buccal fat in our later years to keep the face looking fuller, that’s why it’s not something I would consider

[@drgarylinkov]

@@melissag8270 That's definitely part of it

[@drgarylinkov]

The video is out! kzbin.info/www/bejne/ipSkfXqhdslkkMU

[@kjkoehl5242]

I'm so glad I viewed this video. I was considering getting tear trough filler now that I am 60. I will avoid filler in this area and just continue to use cosmetics to hide the darkness. Thanks doc.

[@TK-ij2xi]

I've had Dysport, typically 2 times a year. My injectionist (an RN) keeps asking me about my tear troughs! I've had deep troughs since I was a child. If I lost them, I wouldn't look like me. And this tells me just to keep them forever.

[@natashaw476]

I wouldn't go to someone who recommended procedures for me, I don't think anyone should recommend anything unless they are asked.

[@TK-ij2xi]

@@natashaw476 I still go there because other than her trying to upsell, the place is a good place. I see her protege for less, also an RN.

[@kimbaker4352]

This is a doctor I would want to go to if I had any work done, seems so kind with a very calming voice.

[@briannagills5912]

I would really like to see your video on why you do not do buccal fat removal anymore. As an African American who has a large amount of fat in their lower third causing my nasolabial folds and tear troughs to be more noticeable. I am definitely thinking about getting buccal fat removal

[@zhouchickabowwow4510]

You could try botox on your jaw muscles and possibly get similar results. It could just be that you have intensely strong jaw muscles that you don't notice. This method can potentially make you aware of how much you clench your jaw and hold tension in your jaw and neck. That and possibly stop future dental problems from the clenching. Lastly, you can get this done by your dentist or at a medspa for only a few hundred dollars and see final results within one or two sessions in a year. That would really tell you if you really want to consider surgery.

[@briannagills5912]

@@zhouchickabowwow4510 dude, I don’t think you realize how many boxes you just checked. I do clench my jaw and I do have dental problems as well. So is it just Botox in the jar muscles or is there a specific name for the procedure?

[@tinkerbellaella6464]

@@briannagills5912 it's called masseter botox, so it's regular botox but injected into your jaw muscles, it basically relaxes /weakens the muscles in your jaw, so it can help you if you have a overly defined jaw muscles /issues with clenching or grinding your teeth, But I believe the results are temporary like any other botox though, Idk how often the procedure needs repeated but it can have pretty drastic results on the right people and slim the face down a lot (it's popular with East Asians in particular)

[@zhouchickabowwow4510]

@@briannagills5912 the botox will fade but the results will remain because your jaw muscles will understand how it feels to be relaxed now. Your body didn't know the difference because it always felt that way. After two or three injections over the course of a year or so, you will inevitably be able to consciously realize if your clenching your jaw and then consciously relax those muscles.

[@klickingkayasmr7585]

Off topic but what kind of dog is that?! 😍

[@yvonnesmith8245]

Thanks so much! Really enjoyed your comments on lower eye trough filler complications ❤️

[@karolinacotts9486]

I’ve had 1 ml under each eye 2 years ago! Fist year results were amazing, I couldn’t be happier. However past few months I’ve noticed that I wake up with small bump on one side, it gets smaller as the day goes and filler migrates I assume…I thought after 2 years filler would be gone but effect is still good apart of that one small bump 😳

[@lostandfound5145]

Sleep on your back. You could be smooshing your face during the night casuarina migration. Maybe have doc check, too, to make sure it’s filler and to see if gentle massage will help. I had a lump happen and sleeping on my back plus massage fixed that for me

[@evelyncoello1174]

I’m 37 years I was planning to do this surgery because I had dark circles but watching this video educated me about it and for now I’m going to leave it as it is. I’ll put ground coffee I heard it helps 👍

[@anitat9727]

Thank you for this video. I admire how you are able to be open and honest about safety

[@jenniferscheffel6020]

Thank you for your channel. Per your request for viewers to comment on client/doctor communication, here's my experience. For reference; I'm 52 with a well-maintained face and body and value looking healthy; which mean I don't want to look like I've had anything done - I want to have a long-term relationship with all my doctors; GP, derm, plastic surgeon, etc. I want HONEST, well-educated doctors to tell me what I need based on their knowledge of the face, muscle structure, etc. I find many doctors are reluctant to do this - I've even had doctors tell me they don't want to tell me what I need; it's my job to tell them my concerns. I needed an upper blepharoplasty for years which resulted in forehead lines. Instead of surgery, I went to my dermatologist for botox to fix the obvious problem (lines). The real problem (I finally discovered) was that I was unconsciously lifting my brows to compensate for not being able to see. My muscles became so tense, I couldn't relax them even when sleeping. How can I tell a doctor I need a blepharoplasty when I didn't realize it myself - it took a youtube video by Dr. Gavin for me to discover a common problem with permanent forehead lines is often a need for blephoplasty (paraphrasing). I recently had the surgery (because I asked for it)...but if a doctor had told me the underlying problem and recommended an appropriate surgeon - I could have enjoyed great eyesight and better cosmetic results years ago. I now see a plastic surgeon that also does non-surgical procedures based on this experience. This way I can have consultations that cover all the possibilities. Like most "regular" people, I want to look great for my age...I don't want to look 20 years younger, stretched or overdone. I want to look natural, which means some wrinkles and natural expression and probably less drastic but more frequent procedures. I want my doctor to tell me if some procedure I've heard about is going to result in an unnatural appearance - and I want my doctor to be well grounded enough to know the difference between a natural and fake result (I'm not sure all do anymore...) I really appreciate channels like yours and Dr. Gavins because they've helped me make important, informed decisions.