Under-eye filler was once hailed as the holy grail of subtle rejuvenation—a quick, relatively painless fix to mask tired eyes and hollows. But as years roll by, the story changes. Seasoned aesthetics aficionados are seeing a less flattering side of those beloved syringes: filler migration, lumps, and that dreaded “puffy” look that seems to defy their initial goals.
This isn’t a matter of if—it’s a matter of when. And when it happens, the question becomes: How do you correct it? For many, the answer is lower blepharoplasty. And for those in the know, the name at the top of their list is Dr. Mehryar (Ray) Taban.
The Migration Problem: Why Fillers Fail You Long-Term
Let’s be clear—under-eye filler isn’t bad. When done well, by the right injector, it’s a fantastic option. But filler isn’t static. Over time, it can migrate, attract water, and lose its initial shape, leaving many with puffiness or uneven contours.
Dr. Taban sees countless patients seeking to correct what years of filler have left behind. His approach? A surgical precision that only a board-certified oculoplastic surgeon can offer. During our consultation, he explained his method of addressing filler migration with lower blepharoplasty. Unlike the outdated “fat removal” approach, he repositions the fat pads under the lid to restore harmony and balance.
For long-term results, repositioning the fat is key. Simply removing it can lead to a hollow look, and fat transfers often don’t last or behave predictably over time. His goal is to rejuvenate the eyes while keeping everything as natural and timeless as possible.
The Subtle Art of Under-the-Lid Surgery
What sets Dr. Taban apart is not just his technique, but his artistry. Lower blepharoplasty, particularly when correcting filler migration, isn’t about big, obvious changes. It’s about subtle, almost imperceptible adjustments that make people say, “You look so well-rested,” not “What did you have done?”
Dr. Taban’s approach under the lid to reposition the existing fat pad ensures a smooth, youthful transition from lower lid to cheek—one of the trickiest areas to get right. It’s also why his patients rave about their results, often saying it’s the best decision they’ve made for their appearance.
Why He Skips Fat Transfer (Or at least for me!)
Here’s where Dr. Taban deviates from many other surgeons: he avoids fat transfer. For those well-versed in aesthetic procedures, you’ve likely heard mixed reviews about transferring fat to the under-eye area. Dr. Taban is upfront about his stance.
Basically – fat transfer is unpredictable and can dissipate over time. It’s not a technique that can stand the test of time, and fat transfer simply doesn’t offer the consistency my patients expect.”
It’s refreshing to hear this honesty from a surgeon who prioritizes results over trends, especially in a field where every new technique promises the next best thing.
The Upper Lid Conversation
Of course, no consultation about the eyes is complete without touching on the upper lid. For many women, addressing the lower lid highlights issues with the upper. Dr. Taban excels at upper blepharoplasty, expertly removing excess skin and redefining the eyelid’s contours to complement the overall aesthetic. He said we would remove just a touch – and it was up to me if I wanted to add a temporal brow lift. I really do, but for now, I am still not ready for any scars in my hairline. He thinks I do not really need it now…so I think I have my answer for now. (But I really do would love my brows to not drop on the ends – hmmm…I will think this one over)
The result? Balanced, rejuvenated eyes that enhance your natural beauty without ever tipping into “done” territory.
Credentials That Matter
Dr. Taban isn’t just any surgeon; he’s an oculoplastic surgeon—an elite subspecialty dedicated solely to the delicate structures of the eyes. With a background in ophthalmology and advanced training in plastic surgery, he brings a rare level of expertise to the table. His meticulous techniques and patient-first philosophy have made him a sought-after name in Los Angeles and beyond.
He’s also a prolific contributor to medical literature, with articles on filler migration, eyelid surgery, and innovative techniques to address aging in the eye area. Dr. Taban’s expertise doesn’t stop in the operating room. He’s also a prolific contributor to the field, having published extensively on under-eye rejuvenation, filler migration, and advanced techniques in blepharoplasty. His articles delve into how filler interacts with surrounding tissue over time, the limitations of non-surgical solutions, and why surgery remains the gold standard for addressing long-term concerns.
Why He’s on Our Top Docs List
Dr. Taban is the kind of surgeon savvy patients (and celebs – wow, his wall of photos! I am not naming names!) trust—not because of flashy marketing or the latest gimmick, but because he gets it. He understands the subtle art of rejuvenation and the science behind lasting results.
If you’re dealing with filler migration, puffiness, or simply want to address aging around the eyes, Dr. Taban’s expertise in lower and upper blepharoplasty is unmatched.
Quick Links to Dr. Taban
- Location: Los Angeles, CA
- Website: tabanmd.com
- Specialty: Oculoplastic and reconstructive surgery
Consider this your sign to graduate from fillers and embrace a more lasting solution with Dr. Taban. Because when it comes to your eyes, there’s no room for second best.
More about Dr. Taban
Dr. Mehryar (Ray) Taban grew up in the Los Angeles area. After graduating Summa Cum Laude from UCLA and medical school at the University of California, Irvine, he moved to the world-renowned Cleveland Clinic for ophthalmology residency, where he was selected as Chief Resident. Dr. Taban then moved back to Los Angeles for a two-year oculofacial cosmetic and reconstructive plastic surgery fellowship at the prestigious Jules Stein Eye Institute at UCLA. He then pursued further fellowship training in cosmetic facial surgery under Dr. Ronald Strahan in Santa Monica, CA.
Dr. Mehryar (Ray) Taban is one of the few surgeons who is board certified by the American Board of Ophthalmology (AAO or ABO) and American Society of Oculofacial Plastic and Reconstructive Surgery (ASOPRS) and diplomat of the American Board of Cosmetic Surgery (ABCS). Dr. Taban specializes in eyelid and facial plastic (cosmetic and reconstructive) surgery. He uses the latest technology in surgery, including minimal incision techniques, to provide quicker recovery times and natural outcomes.
Dr. Taban has authored numerous scientific articles and textbook chapters. He has been invited to speak at many national and international meetings. He has also received numerous awards and honors, including the prestigious Alpha Omega Honor (AΩA), the 2009 American Academy of Cosmetic Surgery Webster Paper Award, and the American Academy of Ophthalmology Achievement Award. He practices oculoplastic surgery in Beverly Hills, Los Angeles, and Santa Barbara.
Dr. Taban is a course instructor at the annual UCLA Eyelid Aesthetic Rejuvenation Course, held every summer, where physicians/surgeons from around the country came to learn advanced oculoplastic techniques, including various eyelid and orbital plastic surgery techniques. The course includes both cadaver dissection portion and lecture/didactic day.
