Tear Trough Fillers

In recent years, it’s become quite common for people to have dermal filler injections. Having this done in the tear trough area with a use of tear trough fillers is one of the most sought-out treatments. But wait — what exactly are tear troughs? When someone mentions cheeks or lips, you immediately know what they’re referring to. Tear trough, however, isn’t a term you hear often.

Tear trough refers to the area under your eyes below the lower eyelid just before the cheek. The name comes from the path your tears take as they travel down your face. This region is prone to pronounced hollows and dark circles.

Of the various facial imperfections we can have, this is one of the most unpleasant. Anyone who’s ever had a problem getting a good night’s sleep knows why dark circles are considered undesirable. They make you look tired. People associate dark circles with illness and sadness. It’s no fun appearing exhausted or sick when you are indeed exhausted or sick. But it’s even less fun looking like this if you’re actually well-rested, healthy, and happy.


Thin skin 

The eye contour area is especially delicate, and the skin here is thinner than it is on the rest of the face. The thinner the skin, the more noticeable the dark color of the veins underneath becomes.

Fatigue and stress cause dehydration and undermine the body’s circulatory system. This leads to dilation of the blood vessels under the eyes; also, blood tends to pool there instead of draining as it should. And this factors often combine with the way that light reflects off your eye socket. The result is that the under-eye area looks dark. To top it all off, as you get older, the skin under your eyes gets even thinner. So, as people age, many start to look like they’ve been up all night even when they get their full eight hours. This is one of the main reasons for the appearance of dark circles.


Another is genetics. Some people have a hereditary predisposition towards deeper, more indented tear troughs. Others have thinner fat pads underneath their eyes, so the area perpetually has a hollow look. To add to the problem, over time we lose facial volume, making those under-eye grooves even more pronounced. That sunken aspect is what creates the look of fatigue.

Genetics is also responsible for the darker pigmentation some people have in this area that leads to the look of dark circles. While this can happen to anyone, those of certain ethnicities are more prone to it. Hereditary tendencies explain how someone who’s only twentysomething can already have dark circles issues.

Instead of a single cause, a combination of several of these factors can be the reason you have dark circles. Tear trough fillers provide better results when hollows and a lack of volume are to blame. Fillers don’t work as well when dark circles are due to hyperpigmentation or broken blood vessels. This is why a pre-treatment consultation is key. Your doctor will evaluate the possible causes of your dark circles to see how they might respond to treatment. She will then advise as to the best course of action for your particular case.


You can solve some of the obvious causes of dark circles and hollows — lack of sleep, allergies — with rest or medication. Then, there are creams and serums. Once people move beyond the realm of beauty products, they think of plastic surgery. However, there is no surgical procedure that can fix dark circles. Fortunately, aesthetic medicine provides a minimally-invasive alternative in the form of fillers based on hyaluronic acid.

Hyaluronic acid, a carbohydrate that binds to water, is a naturally-occurring substance in the human body. Injecting fillers composed of hyaluronic acid into the visible grooves under the eyes fills them and re-hydrates the skin. The area becomes smoother, too, as the shadowing that happens as light moves from the cheek to the under-eye becomes less of a problem. This is how tear trough fillers help diminish the appearance of dark circles and hollows. A face without noticeable dark circles looks rejuvenated and more youthful.

You may have heard of other types of fillers used in aesthetic medicine, including some created from a patient’s own fat. Other options do exist, but hyaluronic acid fillers are the go-to treatment, the one most practitioners recommend. Partly, this is due to the peace of mind that comes from knowing that the outcomes can be reversed if a patient isn’t satisfied. Hyaluronidase is a substance that can be injected to dissolve the filler. Administering it within hours of the original treatment, the doctor can return the under-eye area to its initial appearance without adverse effects.


You may be wondering how it’s a good idea to inject a substance under your eyes that celebrities have famously utilized to add volume to lips and cheeks. Wouldn’t this result in puffy eyes?

The answer is no. Some hyaluronic acid fillers are especially formulated for treating the under-eye area, and they do so without generating any volume. Teoxane Laboratories designed products such as Teosyal Redensity 2 and Teosyal RHA 1 with the tear trough area in mind.

Hyaluronic acid filler injections work by counteracting the volume loss that’s often responsible for hollows and dark circles. Adding volume causes a filling and lifting effects, simulating the job that thicker fat pads would perform if the patient had them. The delicate under-eye skin is raised up, away from dark blood vessels. This decreases the appearance of dark circles, often significantly.


Before injecting the tear trough area, your doctor will cleanse the skin and administer a topical numbing cream. The procedure takes about 30 minutes. Filler is slowly injected in the tear trough to fill in the entire groove little by little. Sometimes the doctor will massage the area post-injection to smooth out the filler and avoid visible lumps.

Afterwards, you can expect some bruising and swelling for a few days or a week. That’s why the you won’t be able to clearly see the results until about the 7th or 8th day after having injections. Post-treatment recommendations include applying cold compresses, using anti-bruise cream Chelaskin, taking arnica supplements. You should avoid high-intensity workouts and sun exposure.

As the body will slowly reabsorb the hyaluronic acid, you can expect the results to last anywhere from eight months to a year. And remember to manage stress, drink lots of water, and get plenty of sleep. These are simple strategies that will keep you looking rested and youthful no matter what.

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