Based on patient feedback, we don’t believe it’s painful to have tear trough filler. It just feels a little odd because it’s so close to the eye. Sensation may also be different depending on whether the practitioner uses a needle or cannula. A cannula is a long, blunt tipped needle, and the entry point is often more toward the mid pupillary line in the cheek. Because of the blunt tip, it can feel like a popping sensation. A needle may also be used, but no popping or tugging sensation, as the needle is sharp and goes through all the layers of the skin, muscle, and fat pad.

The choice to numb the area will depend on the treating practitioner. If the practitioner is using a cannula, they may choose to put a small amount of local anaesthetic.

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