TEAR TROUGH REJUVENATION

The "tear troughs" are in the lower eyelid, as we age there is a weakening of the orbital septum, and in the cheek area (the 'mid-face') a loss of soft tissue volume, tend to accentuate the appearance of the lower bony orbital margin which lies between the lower eyelid and the cheek. This also leads to the appearance of lower eyelid fat pockets ('eye bags') and together these can lead to a dark shadow or hollow beneath the eyes (a 'tear trough defect'). This can cause a tired appearance. Treating this area with carefully selected hyaluronic acid (filler) can reduce the appearance of the hollowing, and in some cases, dark circles or "bags" under the eyes.  

DOES IT TREAT HYPERPIGMENTATION UNDER THE EYES?
Although the grooves under the eyes are filled, and can help alleviate mild shadowing – strong hyper-pigmentation (and especially in darker skins) will likely not be eliminated by dermal filler. Dermal filler will fill in the crescent-shaped depression under the eye, and not change its colour necessarily.  Despite this, filling this area can help the appearance of the dark grooves by less shadows being cast under the eye area, and by reflecting the light better. Similarly dermal filler will only help disguise bags under the eyes caused by muscle/ fat herniation.


WHAT ARE THE POSSIBLE SIDE EFFECTS OF THIS TREATMENT?
You may experience minor lumpiness, swelling, puffiness or bruising even in experienced hands. More rarely the injections can cause longer lasting redness under the eye, and of course localised and temporary swelling and inflammation for a couple of days – as it’s a sensitive area! There are also reported side effects outside of our practice such as a bluish tinge under the skin from it being injected too superficially. It is a non permanent filler so complications will usually improve and resolve with time, if you are unlucky enough to get one. All of the tear trough fillers we use are fully reversible, instantly. 


HOW LONG WILL IT LAST?
The effects of the injections last approximately 12 months before repeat injections are required. For many patients the effects can last longer. Following further injections after approximately 12 months, the effects have been seen to last a lot longer for the majority of patients – due to tissue expansion. 
This area, when treated, needs to be kept under-filled. This means that we do not fill the are so it is flat. Our faces have natural curves and hollows, and over-treating this area can lead to a very undesirable aesthetic, which we are always very careful to avoid. The full effect of your treatment can be seen around 2 weeks post-treatment. Therefore, if you feel you require further treatment within 6 weeks of your original date of treatment, you will receive a slightly discounted price for your seeding treatment, provided it is taken within the 6 weeks time frame. 

Click here for further images of our Tear Trough rejuvenation work.