Tear trough filler can be used to improve the appearance of the under eye area. Tear troughs are depressions starting from the inner eye and moving outwards and downwards towards the cheek. The "lateral tear troughs" are their mirror image that starts from the outside corner of the eye and travels downwards and inwards from that point.

Many patients are concerned about their under eye area, even from a very early age, and this concern intensifies over time. They can be concerned about the dark circles and shadowing under the eyes, the hollowing under the eye, or pockets of fat under the eye).

At our clinic we will only use dermal fillers for the tear troughs that are as safe as possible for that area. We use the products that have good lifting capability and attract the least amount of water. We also may use the fillers that are most smooth and have the least potential to tear through filler lumpiness.

We often suggest other treatment modalities which work well to improve the results of dermal fillers in the tear troughs. The better the skin for tear trough fillers to sit under, the better the results of the tear trough fillers. We often recommend skinbooster, troughbooster, PRP, fractional laser resurfacing and RF microneedling  to get the under eye skin in tip top condition so that we can achieve the best results with the tear trough fillers.

When injecting the tear trough and under eye area with dermal filler, it is necessary to inject multiple areas to obtain the best results. We use a cannula and needle technique depending on the assessment.

Painrelief during treatment

A numbing cream or injectable numbing.

may be applied to the area prior to the treatment 

If a cannula is used, local anesthetic may be used prior to the cannula being introduced into the skin. Cannula may be used in treatment, but for greater precision, needles may be used in treatment 

There is local anesthetic in the dermal filler

Ice is always used to reduce pain and to reduce the risk of bruising.

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What happens during the treatment itself?

The area will be cleaned to help prevent infections

Ice may be applied to the area briefly before treatment. The doctor will inject using a needle. Then pressure with gauze will be applied.

If a cannula is used, a small injection of local anesthetic may be injected into the skin and then a needle makes a small hole in the skin where the cannula is inserted.

HHow will I look after dermal filler in the tear troughs?

There may be redness and swelling, and red dots or bruising at the injection or cannula entry sites.

If cannula is used, bruising is less common.

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After Tear Trough Filler

Instructions for care after treatment

No makeup for 48 hours

No heavy exercise for 48 hours

No spas no saunas, no hot yoga for 1 week post treatment

What to expect after the tear trough dermal filler  treatment?

The effect of the tear trough filler will be obvious immediately

Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.

Bruising will last 7-8 days

Tear troughs are often asymmetrical to start with and your injector will do their best to work on this. In the early stages after treatment, sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will resolve itself by after the area is healed. 

How long will the treatment last?

The answer to this is very individual and depends on the patient's anatomy, metabolism, the dose, the placement, the product etc.

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Cost of dermal filler in tear troughs

Cost is by area. Please ask for the current pricing.

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