What causes tear trough and what is tear trough filler treatment

07 SEP 2020


Our eyes are the focal point and an important feature that brings out the beauty and emotion in our face, and so the frame around it presents a common and prevalent cosmetic concern. The tear trough is the area and groove between your lower eyelid and cheek. For certain individuals, dark circles, hollow and sunken tear troughs are hereditary. While other individuals tear trough start to become more prominently hollow, often forming dark circles and creases with age or certain lifestyle factors. As we age, tear troughs become more prominent because facial tissues lose volume and collagen as you get older, and this can be restored and treated with tear trough dermal fillers.

Tear trough treatment, sometimes referred to as undereye filler, instantly revives and rejuvenates your under eyes, reducing dark circles and lines. This is done through non-surgical and non-invasive injections, with dermal fillers carefully used for the under eyes. Dermal fillers are the most effective for long lasting and instant results that minimise hollows, dark circles and lines under the eyes, and as a result will reduce the appearance of tiredness, exhaustion and old age. With the tear trough treatment, the under eye can appear to be brighter, firmer and plumped, helping you look and feel more wide awake and youthful.

How do tear trough fillers work?

The purpose of a tear trough treatment is to reduce the hollowness of a tear trough, as the depth can make the under eye form lines and appear darker. With this non-surgical method, dermal fillers are injected into the area, adding volume beneath the under eyelids, making the skin look fuller and tighter, and with the skin a bit more stretched out, fine lines under the eyelids will be minimised, resulting in facial rejuvenation.

Before the treatment begins, the patient’s tear trough areawill be assessed by checking the texture and thickness of the skin above the cheek, in order to determine the suitability and what type of dermal filler is best to use to achieve the desired look. Once the patient gets the green card, the under eye area gets disinfected to prevent any infections, then numbing cream is applied on both the opening sides, numbing the area to minimize pain and risk of bruising. Next, a cannula is prepared with premium dermal filler, which gets injected slowly and gradually, with only one opening on each side of the under eyelid, reaching all the areas beneath the skin. By opening only one entry point on each side will reduce the risk of bruising, swelling and vascular complications. We recommend not drinking any alcoholic drinks a couple days before the treatment, to avoid major bruising and swelling.

One of the major benefits of the non-surgical tear trough treatment is that unlike surgical treatments, the patient is awake and can be involved throughout the treatment, seeing and feeling the change unfold. After both the tear trough areas get filled and massaged well, to even out the filler and diffuse the dark circles and soften the hollowness, patients will be able to see instant results. The area under your eyelids will be revitalised and restored, with no downtime or major swelling or bruising, allowing you to get back to living your life with minimal disruption. The treatment takes no longer than 10 minutes and most patients feel none to minimal pain. Indeed, post treatment advice will be provided before and after the treatment, which typically includes:

▪ No exercise or extreme activities, including lifting heavy items for 24 to 48 hours
▪ Avoid sleeping face down
▪ Avoid showers and washing of the face with hot water. Warm water is ok to use
▪ No makeup or harsh items on the area for 24 hours
▪ Avoid alcohol for 24 hours
▪ Ice pack can be applied to the area to prevent any swelling

At Dermamina London, we make sure all our patients are aware of the risks and complications included in the tear trough treatment and we emphasise how important it is to follow post treatment advice and when to refer back, especially if severe complications occur. We provide follow up services for patients that want to have the area checked up. A great benefit of using dermal fillers is that it can be easily dissolved with hyaluronidase (an enzyme that naturally exists in our bodies) for those that want to reverse the treatment or want to reduce it slightly for a more subtle look.


Why Tear Trough and what are the benefits?

Most people that come to Dermamina London for tear trough treatment have similar concerns, such as looking tired and exhausted because of the sunken shadows and hollowness under the eyes, even with enough sleep and regular applications of costly undereye serums. Many patients are tired of spending money on eye creams promising to fix dark circles and puffy eyes, and the everyday reliance on concealers and powders. With that said, if you want a more effective and a treatment tailored to your needs and suitability, try the tear trough treatment. But, before you consider booking your appointment, here’s what you need to know:

Tear trough treatment for dark circles. Tear trough fillers work best to fill in volume loss under the eyes and treat under eye hollows, which starts to become more prominently hollow as you get older, causing dark circles to appear that grow under the eyes. Other factors also cause the forming and increase in dark circles such as lifestyle/health, allergies, lack of sleep and most importantly it may be an inherited trait. That said, the tear trough filler is not suitable for everyone, especially those that have an allergy or infection where the injection is set to be inserted or those who have a known allergic reaction to the filler. Also, if dark circles are caused by darker pigments in your skin, which may be an inherited trait, then the filler may not help to reduce this, rather it can heighten it. Dark pigments can appear under your eyes, which are more spread around the frame of your eyes. However, most dark circles are caused by hollowness that can be felt and seen under the eyes, which appears like a dark shadow. Dermal fillers can level things out and diffuse dark circles, instantly revitalising the under eye hollows and lines, by plumping up the area and stretching the skin, making it look brighter, healthier and helping to add youth and colour back onto your face. It can also change the way the light shines off the skin, reducing the appearance of dark circles.

Soften eye bags under the eyes. As the face ages, the appearance of lower eye bags and dark circles start to appear. Non-surgical tear trough treatments can help to mask the eye bags and smooth the transition between the lower eyelid and the cheek. By injecting dermal filler into the opening points, can fill the groove and lift the tear trough between the lower eyelid and cheek. Teartrough that is responsible for eye bags can also be a result of mid-cheek volume loss and consequently support of the lower eyelid. Possibly, we can replace volume in the mid-cheek using dermal fillers, which can help with this problem as the mid-cheek volume loss and tear trough often present in combination with each other. Indeed, it is vital that tear trough treatments be undertaken by experienced practitioners as problems can occur because of lack of understanding of patient’sanatomy and suitability for the treatment.

Removing fine lines and wrinkles under the eyes. Tear trough treatment instantly and effectively restores lost volume under the eyes, reducing fine lines and wrinkles as the dermal fillers, specially selected for the under eyes, will boost collagen production by hydrating from the inside and boosting overall skin quality. Dermal fillers can be injected strategically to enhance facial features and fill lines under the eyes, instantly reviving and refreshing the under eyes, creating a natural and maintainable look.

Is tear trough treatment safe?

The idea of having a treatment done under the eye can cause uncertainty for many, especially as it is a complex area. Therefore, it is important to understand the risks and complications involved, and what fillers are safe to use under the eyes. Most importantly, tear trough treatments should only be undertaken and treated by experienced practitioners.

The dermal filler specially used for the under eye is made of hyaluronic acid, which is a natural substance that already exists in the human body. When inserted into our bodies, the filler increases fullness and decreases indentions under the eye. The benefit of hyaluronic acid is that it can be easily dissolved with a natural enzyme called hyaluronidase (also found in our bodies). This can be used to dissolve fillers for those that do not like the result or want to lessen the amount under the eyes. If severe complications occur, the filler can be dissolved to prevent further risks.

As the under eye area is intricate, it carries the same risk of necrosis as your lips, and this occurs when the injection accidently goes into an artery, causing premature death of cells. Other complication and side effects of the treatment can include headache, allergic reaction, edema (swelling), filler forming into lumps, vascular side effects and in very rare cases blindness due to central retinal artery occlusion. This is very rare in the cosmetic field and so it is important to make sure you are in safe and experienced hands.

What fillers are used for the tear trough treatment?

The finest and most used dermal filler brand for the tear trough area is Teosyal Puresense Redensity II, made of hyaluronic acid and the ideal filler designed to treat around the eye area. It is well known to be a lightweightgel and ideal to fill in the delicate skin under the eye. The filler is also acknowledged to attract very little water unlike other hyaluronic gels, resulting in minimal swelling after injecting. The beauty of using hyaluronic acid is that it dissolves naturally and gradually over time, with no toxic effects on your body. In addition, it is found throughout the body and it has many functions to providing the skin with volume and helping you look younger in appearance. It is one of natures most versatile and entails of non-animal, cross linked and made with extensive research in a laboratory.


Are tear trough fillers instant and how long is recovery?

The tear trough area under your eyelids will look fuller and brighter right away, but very subtle and natural difference. Full results can take one week, a much faster and noticeable result than using costly eye cream everyday. The treatment is also long lasting and can last up to 18 months or more depending on the individual’s metabolism and lifestyle. Plus, the area is not a very mobile place and so the body takes longer to dissolve the hyaluronic acid, leaving the under eye revitalised for longer.

After the procedure is done, you are likely to have some redness and slight bruising around the area injected but it will improve after 48 hours. There is also no downtime and you can resume your life as usual the moment the treatment is done.

Where to get tear trough treatment in London

Dermamina offers bespoke tear trough filler treatments in the vibrant city, London. We are located just a two-minute walk from Marble Arch station, and walking distance from Bond Street station and Oxford Street. Contact Dermamina for a consultation to find out if the tear trough filler is right for you today!

How much are tear trough fillers UK?

Tear trough cost starts from £340 and you can get this done straight after your consultation. For a full list of tear trough filler costs visit here.