Everything you need to know about Tear Trough Filler

Tear Trough Filler, is it for me?

Tear trough dermal fillers have grown in popularity as an effective treatment to combat the appearance of tiredness, dark circles, and under-eye hollows. Many of the enquires I get in my Daventry and Birmingham clinic are about retorting the under eye area.


As we age or due to genetic factors, the under-eye area can develop a sunken appearance, often referred to as tear troughs. This can result in an aged look or an appearance of tiredness, even when you’re fully rested.

This comprehensive guide aims to offer a deep dive into tear trough filler treatments. Whether you’re a newcomer or have had previous experiences with aesthetic treatments, our aim is to provide you with the knowledge to make informed decisions.


Quick Answer

How can Tear Trough Filler Address the undereye area? The main benefits are that it can immediately reduce the appearance of dark circles and under-eye hollows, the results look natural, and the procedure is relatively quick with minimal downtime. However, there are also potential cons to consider, such as temporary side effects like swelling and bruising, the possibility of rare complications, and the need for maintenance treatments to sustain the results.

Anatomy and Causes

The tear trough, more technically known as the nasojugal groove, runs from the inner corner of the eye, slanting downwards towards the upper cheek.

Everything you need to know about Tear Trough Filler

With age, weight loss, or genetics, a loss of volume occurs in this area, leading to the formation of hollows or dark shadows. This volume loss combined with skin quality changes and other factors can result in the manifestation of the tear trough deformity.

Understanding the underlying causes of tear trough formation is essential.

Firstly, the loss of facial fat and the thinning of skin can exacerbate the appearance of blood vessels, leading to dark circles. Additionally, the weakening of the orbital septum allows the fat pads beneath our eyes to protrude, known colloquially as “eye bags”. Genetics play a role too; some individuals naturally have deeper set eyes or thinner skin in this region. Lifestyle factors, such as lack of sleep, poor nutrition, and stress, can also contribute to the exacerbation of tear troughs.

Benefits of Tear Trough Dermal Fillers

Opting for tear trough dermal filler treatments offers a non-surgical solution to refresh and rejuvenate the under-eye area. One of the primary benefits is the immediate reduction in the appearance of dark circles and hollows. These fillers work by adding volume to the area, plumping up the skin and mitigating the sunken appearance.Everything you need to know about Tear Trough Filler

Moreover, injectable treatments, such as dermal fillers are temporary, making them a more flexible option compared to invasive procedures. They’re composed of hyaluronic acid, a natural substance found in our skin, which ensures biocompatibility and reduces risks of allergic reactions. The procedure is relatively quick, often completed within 30-45 minutes, making it a sought-after treatment for those with busy lifestyles. Lastly, when administered by an experienced practitioner, the results can look incredibly natural, enhancing your youthful appearance without looking “overdone”. At SFAesthetics Daventry, our advanced practitioners will assess if you are suitable for this treatment. There are alternative treatments for under eye treatments. This can be for hydration, wrinkles, dark circles and to improve the laxity of the skin under the eye.

Types of Dermal Fillers

While there are numerous dermal fillers available in the market, hyaluronic acid fillers are the most popular for the tear trough area. Hyaluronic acid is a gel-like substance naturally found in our skin that holds water, aiding in skin hydration and volume. Examples include:

  • Juvederm Volbella: Specifically designed for delicate areas like the under-eye, this filler has a smooth consistency and provides subtle volume.
  • Restylane: Known for its consistency and longevity, it’s effective for addressing hollow tear troughs and fine lines.
  • Teosyal Redensity II: Designed exclusively for the tear trough area, it combines hyaluronic acid and a complex of vitamins and amino acids to improve skin quality.

Each filler has its unique properties, and the choice depends on individual needs, skin type, and desired outcomes.

Choosing the Right Provider

When considering a tear trough filler treatment, selecting the right medical practitioner is paramount. Firstly, ensure that your chosen provider is certified and has extensive experience specifically with tear trough treatments. Look for reviews and before-and-after photos to gauge their expertise.

A consultation is required before the treatment. An experienced practitioner will assess your facial anatomy, discuss your goals, and recommend the most suitable treatment plan tailored to your needs. Remember, every face is unique, and the key to a successful treatment lies in a bespoke approach that takes into consideration your specific anatomy, concerns, and desired outcomes.

Pre-Treatment Preparation

Prior to your tear trough filler treatment, it’s essential to prepare to ensure the best possible results and minimise potential complications. Here are some steps to follow:

  • Medical History: Be transparent with your provider about your medical history, any medications or supplements you’re taking, and any previous cosmetic treatments you’ve undergone.
  • Avoid Blood Thinners: Medications and supplements like aspirin, ibuprofen, vitamin E, and fish oil can increase the risk of bruising. It’s advisable to stop these at least a week before your treatment, but always consult with your doctor first.
  • Limit Alcohol and Caffeine: These can increase the risk of swelling and bruising. Try to avoid them for at least 24-48 hours before your procedure.
  • Skincare: On the day of your treatment, arrive with a clean face free of makeup. This reduces the risk of infection and allows the practitioner a clear view of the treatment area.

The Tear Trough Filler Procedure

The tear trough filler procedure begins with a thorough cleansing of the under-eye area. A topical anaesthetic or numbing cream is then applied to ensure your comfort throughout. Once the area is numbed, the practitioner will use either a needle or a blunt-tipped cannula to inject the hyaluronic acid gel delicately into the target region. The practitioner’s expertise is crucial here to determine the precise depth and amount of filler required. The entire procedure typically takes 30 to 45 minutes, and patients often describe the sensation as a slight pressure or pinch.

Recovery and Aftercare

Post-treatment, you may notice some redness, swelling, or bruising in the treated area. These are common and should subside within a few days. Here are some aftercare tips:

  • Ice Packs: Applying cold compresses can help reduce swelling and discomfort.
  • Avoid Strenuous Activity: Refrain from heavy workouts or activities that increase blood flow to the face for at least 24 hours.
  • Sleep Elevated: For the first night, try to sleep with your head elevated to reduce swelling.
  • Skincare: Avoid using makeup on the treated area for at least 12 hours to prevent potential infections.

Results and Longevity

The beauty of tear trough fillers is that results are often immediate. The under-eye area will appear refreshed, and the appearance of dark circles and hollows will be significantly reduced. However, the full effects will be more evident once any swelling or bruising has subsided, usually within a week.

In terms of longevity, the results can last anywhere from 6 to 18 months, depending on the type of filler used and individual factors like metabolism and lifestyle. Over time, the hyaluronic acid gel will naturally dissolve and be absorbed by the body

Potential Side Effects and Risks

Like any cosmetic procedure, tear trough fillers come with potential risks. Common side effects, such as swelling, redness, or bruising, are temporary. However, there are rarer complications to be aware of:

  • Lumps or Bumps: Sometimes, small lumps can form where the filler has been injected. These often resolve on their own but can be treated if necessary.
  • Vascular Complications: If filler is injected into a blood vessel, it can cause complications. It’s rare but emphasises the importance of choosing an experienced practitioner.
  • Vision Changes: Extremely rare, but there have been cases where filler injections have affected vision. Immediate medical attention is required if this occurs.

Maintenance and Touch-Ups

To maintain the refreshed appearance, touch-up treatments might be required as the effects of the filler start to diminish. Regular follow-up appointments with your practitioner will ensure that any adjustments are made timely and appropriately.

Alternative Treatment Options

While tear trough fillers are an effective treatment for under-eye concerns, there are alternative treatments available:

  • Eyelid Surgery (Blepharoplasty): A more permanent solution, this surgical procedure removes excess skin and fat from the under-eye area.
  • Laser Resurfacing: This can improve skin quality and reduce the appearance of dark circles.
  • Topical Treatments: Specialised creams and serums can offer improvement, especially when combined with other treatments.

Addressing Concerns and Misconceptions

It’s common for patients to have concerns or misconceptions about tear trough treatments. One common myth is that eye fillers will give an unnatural or “overdone” appearance. In reality, when administered correctly, the results should be subtle and natural-looking. Another misconception is that fillers are permanent. Most fillers, especially hyaluronic acid fillers, are temporary and will naturally dissolve over time.

In conclusion, tear trough dermal filler treatments offer a safe and effective solution to address under-eye concerns. By enhancing this area, not only can we combat signs of ageing, but we can also boost confidence and overall wellbeing. As always, it’s crucial to conduct thorough research, consult with experienced professionals, and make informed decisions about your aesthetic journey.

Everything you need to know about Tear Trough Filler

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