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Tear Trough

Tear Trough


Operations to remove the bags under the eyes have been performed for many years but some people suffer from the opposite problem.

As we age and lose soft tissue volume, trough-like hollows can appear in the crease where the cheekbone meets the under eye. It gives the appearance of marked dark circles and can be very ageing.

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Technical Information

A surgical procedure in the form of a lower eyelid lift or blepharoplasty can treat very loose skin or pronounced eye bags but this won’t necessarily be suitable for this treatment. Instead this is best treated with hyaluronic dermal fillers in a temporary non-surgical procedure called tear trough treatment.

Tear Trough Filler Rejuvenation is a series of micro-injections are placed along the line of the hollow and the practitioner usually gently massages the area to ensure the gel is evenly distributed.

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Frequently Asked Questions

An experienced practitioner will be able to deduce what is causing the appearance of the hollows and which treatment procedure is best for you.

We would always say between 12 – 24 months.

Your GP is correct to be reluctant in treating the undereye, as the potential complications are numerous.

It is possible to have filler placed in the hollows beneath the eyes (tear troughs) in order to rejuvenate the area but I would advocate that this is done using special blunt cannulas and not sharp needles to avoid any damage to the tiny blood vessels in the area.

As long as this technique is coupled with a conservative amount of material then the results can be very effective.

There are two things here – one is volume loss within the anterior cheek pad, which is common at this age. This causes a depression just below the eye, forming the tear trough and resulting in the formation of shadows below the eyes so reflective make-up can sometimes, but not always be useful.

The second problem is thinning of the skin, which can lead to puffiness as a result of water retention. These two problems need to be addressed individually.

The tear trough can be corrected with cheek volumisation, restoring the anterior cheek pad and the loose skin can be addressed with energy based skin tightening or skin peels.

Tear Trough

Before and after Tear Trough treatment

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