Plastic Surgery, through science.
Evidence-based information about plastic, reconstructive and aesthetic surgery, written for patients.
I use this space to answer questions that frequently come up during consultations, explain the anatomy and reasoning behind different procedures, and look critically at some of the treatments and trends in aesthetic medicine.
The aim is simple: to help patients understand what a treatment can realistically achieve, what the evidence actually supports, and where its limitations are.
Why I Rarely Use Hyaluronic Acid Filler in the Tear Trough
Tear trough filler can initially smooth the hollow between the eyelid and cheek, but the under-eye is one of the least forgiving areas to inject. I explain the anatomy behind persistent puffiness, malar edema, filler migration and long-term HA persistence—and why I often prefer microfat grafting or fat-transposition blepharoplasty.