- The tear trough is the anatomical area under the eye
- Dermal filler placed in the upper cheek or directly into the tear trough can reduce the hollows
- Treatment costs from $650
- Results last up to 9 months
At Cityskin we use dermal fillers to treat the tear trough and reduce the appearance of under eye bags. The tear trough is something that appears under the eyes as we age. Some people naturally have a slight tear trough so we don’t always correct this area.
Notice that some people have a tear trough at a young age and it is normal! Reducing the tear trough can help you look fresher and less tired.
Why do we develop tear troughs?
As we age the skull changes. The eye socket becomes larger and the cheekbones reduce in size which means there is less cushioning around the eyes. We also lose fat in the face as we age shown in the diagram below. The fat pads in the face give volume and support and with gradual loss of support the tear trough can become more prominent.
How are tear troughs treated?
There are 2 main ways in which we can treat tear troughs and under eye bags – explained nicely by Bianca Quon in the video below:
Method 1 : treating loss of cheek volume
Sometimes the trough forms because of loss of volume in the fat pads of the cheeks. If this is the case then treating the upper cheek with dermal filler can often provide good support to the under eye area and reduce the appearance of the tear trough.
Method 2: injecting dermal filler directly into the tear trough itself
If you have good cheek volume and simply have a deep tear trough then dermal filler can be injected into the tear trough to lift the area and reduce the depth of the line. The downside of this method is a slightly higher bruising risk.
How much does tear trough filler cost?
How long does tear trough filler last?
Tear trough filler lasts for up to 9 months depending on the type of filler used. The under eye area is delicate and we have to be conservative with the amounts of filler that we can use.
What are the risks of tear trough treatments with dermal filler?
The main risks of treating the tear troughs are:
The area around the eyes is one of the most difficult areas to treat. It is an area which is prone to water retention and puffiness so we have to be careful not to place too much dermal filler in this area. Bruising is quite likely around the eyes.
Can dermal filler in the tear trough correct dark skin under the eyes?
Depending on the cause of the darkness under the eyes, it can lessen the visual appearance of dark circles.
When we age, we lose bone, fat pad and muscle. The fat pads start shrinking in size and declining down the face, the muscle weakens and bone structures change from bone reabsorption. The malar fat pad under the eye starts to descend down the face, showing separation of the obicualris retaining ligament.
This ligament is what separates the lid-cheek junction. If there is a visable deficit (dark circle) from bone reabsorption and separation of the fat pads, adding dermal filler to replace lost volume will definitely lessen the appearance of dark circles.
Other reasons for dark circles include pigmentation and visible vascular structures, as the skin around the eyes is the thinnest skin on the entire body. Dermal filler will not help with the appearance, if these are the cause. Other means of treatment may be laser treatments such as IPL and skin needling.
Tear trough before / after photos
Patient before / after photos
The patient below has had their tear trough treated with dermal fillers. Small amounts of filler has been placed in the mid cheek and directly into the tear trough to reduce the appearance of dark lines and tiredness.