Tear trough filler is a non-surgical, minimally invasive treatment. It includes numbing the tear trough area with a topical anesthetic before injecting hyaluronic acid gel into the area, which serves to stimulate collagen formation and replace lost volume caused by the aging process.
What is a tear trough?
A tear trough is a deep groove that runs from the bottom of the eyelid to the top of the cheek. It might throw a shadow underneath your eyes, making you look fatigued. Some people believe that their tear troughs give them an older appearance.
Tear troughs can be an inherited feature in some people. Tear troughs become more apparent with age in others. This is because as you get older, your facial tissues lose volume. A tear trough filler’s purpose is to lessen the depth of a tear trough.
A dermal filler is injected into the area by a competent medical practitioner, making the skin look larger and tighter. It’s a noninvasive face rejuvenation procedure. Tear trough fillers, like other forms of face fillers, have benefits and drawbacks. Before undergoing therapy, it’s critical to have a thorough understanding of the procedure and any potential problems.
Tear trough fillers aren’t approved by the FDA, thus they’re used off-label. If you have dark circles under your eyes, you’ve probably tried every brightening product on the market and failed miserably. However, depending on what’s causing your dark circles, tear trough filler is one of the few treatments that can genuinely improve their appearance for the better.
Tear trough filler:
An injectable treatment for the tear trough is a tear trough filler. Its goal is to increase volume to the area behind the eyelids. Although different components may be employed, the most commonly used product in this region is one made of hyaluronic acid.
In the human, hyaluronic acid is a gel-like substance. Hyaluronic acid promotes fullness and reduces indentations when injected into the skin. The eyes are said to be the windows to the soul. Though your eyes appear weary even when you’re not, a tear trough filler treatment might help you look more awake.
Patients of all ages seek this treatment because unsightly under-eye bags are ageless. The eyes are the most prominent feature of the face. Many men and women believe that if their eyes aren’t in good shape, they aren’t in good shape. Bags under the eyes, dark circles under the eyes, and a hollowed-out appearance under the eyes can make you look tired and age your face.
Tear trough filler can assist to improve the appearance of the issue region under the eyes. A filler called Restylane is injected into the delicate under-eye skin during tear trough filler treatment. When injecting filler into this vulnerable area, the doctor and his colleagues are very cautious, as using too much product will result in bad outcomes.
Typically, half a syringe of filler is used to begin treatment. The filler is then injected again in two weeks for the best results. It’s crucial to understand that tear trough filler treatment isn’t a one-shot deal; you can plan to have many sessions to achieve the best outcomes.
According to Noelani Gonzalez, M.D., director of cosmetic dermatology at Mount Sinai West, the major purpose for getting undereye fillers is to correct a hollowness under the eye known as a “tear trough.” You may get dark circles or shadowing under your eyes if you have hollowness or lack of volume in that area.
Jenny Hu, M.D., a dermatologist with Keck Medicine of USC and clinical associate professor of dermatology (clinician educator) at the Keck School of Medicine of USC, tells SELF that it’s important to distinguish dark circles caused by loss of volume or basic anatomy (both of which can be hereditary) from dark circles caused by hyperpigmentation in the area. “The dermal filler won’t assist if [a patient] has real pigmentation,” she explains.
Also, according to Dr. Hu, undereye fillers won’t help with greater bags under their eyes. Instead, she frequently advises blepharoplasty, a surgical treatment, for those patients. So, if you want to get rid of dark circles beneath your eyes, the first step is to consult a board-certified dermatologist to figure out what’s causing the problem.
Also, keep in mind that it could be the result of a mix of variables, such as hyperpigmentation along with anatomy and lifestyle issues (like not getting enough sleep). Your dermatologist may recommend a mix of treatments, including filler, in these circumstances.
What is Restylane?
Restylane is an injectable that is used to repair tear troughs in the office. Restylane is formed of hyaluronic acid, which is a harmless substance that you’re probably already using in your skincare.
It’s a clear liquid that can be injected into the skin to reduce the appearance of tear troughs, nasolabial folds, and other mild to severe wrinkles. Restylane can also be utilized to improve the appearance of your lips. Restylane is an FDA-approved, safe, and effective therapy with a long track record.
Summary:
A tear trough is a deep groove that runs from the bottom of the eyelid to the top of the cheek. It might throw a shadow underneath your eyes, making you look fatigued. When injecting filler into this fragile area, dermatologists are very cautious, since too much product will result in bad outcomes.
A table about tear trough filler:
| Grade | Severity | Dosage |
|---|---|---|
| I | Mild hollowing | 0.5 mL/side divided into 0.05 mL per point |
| II | Moderate hollowing | Up to 1 mL/side |
| III | Severe hollowing | Up to 1 mL/side |
| IV | Very severe hollowing | 1 mL/side and multiple sessions in 4 weeks intervals of approximately 4 weeks if required |
Are tear trough fillers safe?
Tear trough fillers are generally considered to be safe. They’re also less invasive than tear trough operations, which typically involve fat grafting and repositioning. However, the effects of tear trough fillers are just transitory. They are only good for about a year. To sustain long-term effects, you’ll need to repeat treatments.
Tear trough fillers are sometimes combined with other treatments such as:
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Botox injection
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laser resurfacing
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fat grafting
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fat repositioning
Who’s a good candidate for tear trough filler?
If you meet the following criteria, you may be a good candidate for tear trough filler:
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have mild to moderate sagging under the eyes
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have healthy, thick skin
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have realistic expectations
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understand the treatment is temporary
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are physically healthy
Alternatively, you may not be a good candidate if:
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your skin is very thin
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you have excess skin beneath the eyes
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your tear troughs are very deep
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you have fat bulging under your eyes
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you have an active skin infection in the area
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you have a medical condition that increases your risk of complications
The procedure of tear trough filler:
A competent medical practitioner will examine your lower eyelids before recommending tear trough fillers. They’ll also examine your skin’s texture and thickness. They’ll also figure out which type of dermal filler is ideal for your needs.
Your procedure will be performed in a doctor’s office. Here’s what to expect:
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To prevent infection, a medical expert disinfects the skin. To prevent bruising, a topical anesthetic may be applied to the area, or an ice pack may be placed on your lower eyelids. This reduces the chance of bruising by numbing the region.
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After that, they prepare a syringe with the filler. Depending on their preference, the syringe is linked to a blunt or sharp needle. The filler is injected beneath your lower eyelid’s skin.
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As the filler is injected, the needle is progressively withdrawn. To disseminate the filler, they delicately massage the area. Under the other eyelid, the operation is repeated.
Aftercare and results of tear trough filler:
Once the operation is completed, you will be able to return home. Swelling, bruising, and redness are all likely to occur. After 48 to 72 hours, these adverse effects normally subside. The region beneath your eyelashes will immediately appear fuller. According to anecdotal reports, it can take 1 to 2 weeks to observe the complete results.
Follow the post-treatment instructions carefully, which usually include the following:
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Wait for 24 to 48 hours before engaging in strenuous activities.
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Ice should be used for the first 48 hours.
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Avoid sleeping on your stomach.
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Gently massage any lumpy places with your fingers.
Complications of a tear trough procedure:
Possible complications of tear trough fillers include:
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headache
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skin discoloration
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allergic reactions
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persistent pain
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edema (swelling) around the eye
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filler forming into lumps
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granuloma
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vascular side effects
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lack of desired results
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permanent blindness due to central retinal artery occlusion (very rare)
Some complications can happen 2 weeks after the procedure. Therefore, it’s important to see your doctor if you have:
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worsening bruising
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worsening redness or swelling
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persistent numbness
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severe pain
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signs of infection
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vision changes
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red or painful lumps
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delayed allergic reaction to the product
Tear trough filler cost:
The entire cost of tear trough fillers is determined by the number of syringes used. If your tear troughs are shallow, your doctor may use one syringe to treat both sides. You may need one syringe for each side if your tear troughs are deep.
The average cost of hyaluronic acid is $682 per syringe, according to the American Society of Plastic Surgeons. As a result, the treatment can cost anywhere from $682 to $1,364. Depending on your geographic region and the medical professional’s experience, your treatment may cost more or less.
Health insurance does not cover tear trough fillers. The surgery is purely cosmetic and is not considered necessary. It’s also vital to keep in mind that tear trough fillers are only meant to be used temporarily. If you want to keep the effect, you’ll need to repeat the treatments.
Many people get the injection once or twice a year. Take the time to identify a skilled cosmetic surgeon, plastic surgeon, dermatologist, or another trained medical specialist if you’re interested in tear trough fillers.
The correct injection technique will be taught to a competent provider. They’ll also know how to select the optimal injection location and the appropriate filler for your requirements. You’ll be less likely to have issues as a result of this.
Why Choose Tear Trough Filler?
The majority of people have a decrease of volume in the under-eye area as they age. As early as our 20s, wrinkles, under-eye hollows, dark circles, and thinning skin may appear in this delicate face region known as the tear trough. This aspect of the normal aging process is unpleasant for many people. One option is to use a tear trough filler therapy.
Tear trough filler can be used to alleviate wrinkles, the hollowed-out look beneath the eyes, and dark circles in many circumstances. If you are unhappy with the appearance of the skin under your eyes, you may want to consider tear through filler therapy.
In rare cases, you may choose to forego tear trough repair treatment. Pregnant women should avoid treatment. You should also avoid treatment if you are allergic to hyaluronic acid or lidocaine. It’s also a good idea to avoid drinking wine or other adult beverages before treatment because having alcohol in your system increases your chances of bruising.
Restylane is an excellent filler for the tear trough for a variety of reasons. Its unique consistency promotes natural tear through regeneration. It also lasts a long time, often more than a year. Finally, because it is a hyaluronic acid filler, hyaluronidase injection can be used to break it down if necessary. Another hyaluronic acid filler that can be used in the tear trough is Belotero.
Regrettably, not all fillers are suitable for use in the tear trough. Juvederm has a strong hydrophilic plumping effect under the eyes, resulting in a very noticeable ‘puffy’ appearance that can last for months. While many injectors have attempted to fill the tear trough with collagen, Radiesse, Artefill, and even silicone, these various filler materials have been linked to unfavorable side effects and poor cosmetic results.
When Will I See Results?
The therapy for tear trough repair should take about 15 minutes. You will see immediate results. The following tear trough filler treatment, some individuals report moderate edema. The ultimate outcomes should be seen a week or so after therapy, according to doctors. If you have dark circles under your eyes as a result of a pigment problem, you’ll need to stick to a certain skincare routine.
Tear trough fillers are hyaluronic acid injections into the area beneath the lower eyelids. The area under your eyes will appear fuller straight away, but the entire effect may take 1-2 weeks.
How Long Does Tear Trough Filler Treatment Last?
The effects of a tear trough filler treatment are temporary. Individual results may vary, however, most patients are satisfied with the results lasting 6 to 18 months. The following factors can affect how long your tear through filler therapy lasts:
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Age
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Lifestyle
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Skin type
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Muscle activity
Is Tear Trough Filler Painful?
Though injections near the eye may make you uncomfortable, tear trough filler treatment is rather painless. Before injecting the tear trough, the doctor and his colleagues apply a topical numbing treatment to alleviate any discomfort you may feel. 15 to 20 minutes before the injection, the topical numbing solution is applied to give it time to take effect.
Patients will have a pain-free experience as a result of this procedure. After tear through repair, there are generally few negative effects. Slight swelling at the injection site may be the most visible symptom. Some patients may experience apparent bruises or lumps at first, but these will fade in a few days. A week following treatment, you’ll notice natural effects.
How does it feel to have tear-trough fillers?
According to Dr. Gonzalez, you’ll have a consultation with your dermatologist or cosmetic surgeon before the surgery. That way, they’ll be able to figure out exactly what’s causing your dark circles and whether you’re a good candidate for fillers. After that, you’ll return for the surgery.
According to Dr. Gonzalez, most patients don’t need numbing drugs for this treatment, but you can ask for them if you like! Just keep in mind that you’ll have to wait 30 to 40 minutes for the numbing to take effect, which will cause you to miss your appointment. The session can be completed in around 15 minutes without the use of a numbing drug.
When it comes to injections, there are two methods to choose from: Some dermatologists and cosmetic surgeons prefer to utilize the tiny needles that come with the fillers, while others prefer to use a cannula. Dr. Hu adds that using the needle alone is the traditional method, and the cannula serves as a dull straw, allowing the needle to pass through with only one poke.
Some say that this enables for more exact placement with less swelling and bruising, but the most important element to consider when receiving undereye fillers is to go to an expert medical professional who is familiar with the complicated anatomy around your eye. You’ll notice results very immediately after the operation. “You’ll see benefits almost immediately,” adds Dr. Gonzalez, “and they’ll only get better over the next two weeks.”
Side effects of Tear Trough filler:
First and foremost, keep in mind that the area under your eyes is extremely fragile and densely packed with blood vessels, according to Dr. Gonzalez. Because of the thin skin, this area is particularly vulnerable to bruising, which is one of the most prevalent side effects of the operation.
Your dermatologist may advise you to avoid certain medications and supplements, such as NSAIDs and fish oil pills, before your surgery to decrease bruising. Swelling is the other most prevalent side effect, according to Dr. Gonzalez. Within a week, both of these concerns should be resolved.
The Tyndall effect, which explains the way light scatters under certain conditions, can occur if your fillers aren’t put properly. In the case of undereye fillers, this results in a mild bluish tint to the area. Fortunately, hyaluronidase, an enzyme that breaks down the hyaluronic acid in the filler, can be injected to cure this.
The growth of nodules following the injection is another possible, more serious adverse effect, but they can also be treated with hyaluronidase. Of course, if you’re unhappy with your fillers, your dermatologist can use hyaluronidase to remove them.
Getting filler injected into a blood vessel is one of the more significant (and rare) side effects of the treatment. This can cause a blood artery to get blocked, resulting in blindness. Although you should always have injectables done by a board-certified dermatologist or cosmetic surgeon, this is one surgery for which you should go to someone who understands what they’re doing.
What else should I know before getting Tear Trough filler?
Your dermatologist would almost certainly use a hyaluronic acid filler, such as Restylane, Belotero, or Juvederm if the filler is going right under the eye. These fillers can also be utilized in other areas of the face. Because hyaluronic acid is a naturally occurring substance, it is unlikely to induce adverse responses. However, it degrades with time, so your fillers are just temporary.
Dermal fillers are typically advertised to last six to a year, but according to both of the doctors SELF spoke with for this story, undereye fillers tend to last longer (closer to 18 months) since they are placed in a part of the face that moves less than the lips. They aren’t cheap, though—estimates range from $600 to $2,000 depending on where you go—and you’ll have to add in the cost of having them redone now and then if you enjoy them.
Dr. Hu notes that other dermatologists take a slightly different strategy, injecting a different type of filler into the cheek area instead of or in addition to the undereye filler to try to reduce shadowing from that viewpoint. So don’t be astonished if they advise you to do so as well. Finally, it’s worthwhile to have a one-on-one conversation with a skilled health expert about your expectations for fillers and what you may truly expect.
Use of cannula for tear trough injections:
Patients frequently inquire about my tear trough technique and whether I use a blunt cannula. For a variety of reasons, I have always used a needle instead. The needle technique, in my opinion, is more precise since I am constantly in the correct plane and know precisely where the filler is going.
When using a cannula, the filler is frequently inserted in the wrong place (too superficial and not deep enough). In my practice, I frequently find patients who have had filler placed inappropriately using a cannula, resulting in puffy, lumpy filler beneath the tear trough. If a patient prefers to be treated with a cannula, I recommend finding someone very skilled with cannulas (as many cannula users are not), as well as an expert in the anatomy of the under-eye.
The importance of experience in tear trough filler injections:
Dr. Greene is one of South Florida’s most experienced injectors, and tear trough filler treatments are a big part of his practice. The use of fillers in the tear trough necessitates a high level of competence and judgment. The complication rate is high, and patient satisfaction is low, due to poor judgment and unskilled technique.
Patients must be treated not only by an experienced injector but also by a practitioner who specializes in tear trough treatments. Dr. Greene frequently meets patients who have had previous tear trough procedures and are dissatisfied with the results. Fortunately, these therapy outcomes can sometimes be greatly altered and improved.
After tear through repair, there are generally few negative effects. Bruises or lumps may appear initially for some people, but they will fade after a week. Bruising and bluish under-eye areas are the most common side effects of the procedure.
Know more about tear trough injections:
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Injections under the eyelids are surprisingly painless. Patients are frequently concerned about their approaching treatment but are pleasantly delighted to discover that it causes almost no discomfort.
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Mild bruising is a frequent following tear through filler therapy, however, it usually goes away within a week. Patients are urged not to take therapy if they have a significant event coming up.
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Even if the outcomes are little, the majority of patients are satisfied with the therapy outcome.
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While most patients only need one syringe of Restylane, those with extremely deep tear troughs may require many syringes.
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As with other filler treatments, patients must refrain from taking aspirin, ibuprofen, or any other medicine or supplement that may cause bleeding.
The tear trough and dark circles under the eyes:
The tear trough, also known as the nasojugal groove, stretches from the inner corner of the eye to the palpebromalar groove in a semicircular arc. A deep tear trough can cast a shadow below the eye that appears as a dark circle. It also generates a line between the lower eyelid and the cheek, which is an early indicator of eye aging.
Patients with deep tear troughs frequently complain about seeming fatigued and older than they are. Tethering of the lower eyelid skin to the underlying facial bones causes a tear trough. The tear trough gets more pronounced when age causes volume loss and tissue laxity in the lower eyelid. Lower eyelid bags might draw attention to a tear trough, making the shadow more obvious.
Even younger patients can develop a tear trough deformity, which is increasingly frequent as they become older. While repositioning fat in the lower eyelid can cure a tear trough distortion medically, filler treatment has become a popular alternative.
Many people prefer a non-invasive approach to surgery to avoid the dangers and difficulties that come with it. A filler like Restylane can provide a patient with a natural-looking effect that lasts for more than a year and requires little downtime.
Treating tear trough deformities with dermal fillers:
Tear trough abnormalities can be difficult to treat with dermal fillers, but with the right injection technique and filler selection, surgeons can rejuvenate this delicate area. Every day, ophthalmologists perform “intricate and precise” procedures, and treating patients with tear trough deformities.
More precisely termed as orbital rim hollows—can be a particularly rewarding endeavor for someone with a strong aesthetic sensibility. Three ophthalmologists who specialize in aesthetics give their perspectives on the use of hyaluronic acid (HA) fillers to treat tear trough abnormalities.
Savvy Clientele of tear trough filler:
Many of his patients are knowledgeable consumers, according to Bobby S. Korn, MD, Ph.D., of the UC San Diego Shiley Eye Center. “Some people desire lower eyelid fillers and specify which filler they want—Belotero, Restylane, or Juvéderm.” Other people choose a more permanent solution and opt for surgery rather than fillers." In any case, he and other specialists in the field devote a significant amount of time to educating patients and regulating their expectations.
1-Initial assessment:
Dr. Korn begins by gathering information on previous surgeries and/or fillers. He then looks at the lower eyelids, analyzing skin texture and pigmentation and checking for considerable fat prolapse, dermatochalasis, and periorbital hollowing.
2-Clarify patient goals:
He then tries to figure out what the patient wants and is worried about: What is the patient’s lower eyelid rejuvenation goal? What is the most bothersome aspect of the patient’s condition? Dr. Korn hands the patient a handheld mirror and asks them to point out any trouble spots. Then he makes his rejuvenation recommendations.
Depending on the patient, surgery, fillers, or a combination of treatments may be the best option. Dr. Korn uses before-and-after photos of procedures and filler injections to educate patients.
3-Financial considerations:
Fillers are less expensive for a single treatment, take less time to perform, and have less downtime, but they require repeat treatment. Surgery is more expensive upfront, but the results tend to last longer; fillers are less expensive for a single treatment, take less time to perform, and have less downtime, but they require repeat treatment.
4-Skin tone and quality:
Patients “come in because they are displeased with how they appear, but they don’t necessarily have insight into exactly what age-related changes are driving their discontent,” according to Robert A. Goldberg, MD, of UCLA’s Jules Stein Eye Institute.
He gives individuals a thorough, tailored assessment of age-related issues that influence their looks. Skin quality and tone, according to Dr. Goldberg, are the most significant aspects of periorbital rejuvenation, even more, crucial than the orbital rim depression itself.
“Unfortunately, fillers don’t truly address skin quality,” Dr. Goldberg said. “However, they can assist offer some volume and stretching of the skin.” “Fillers are usually not recommended for patients who have very thin, inelastic skin. Instead, we strive to renew or rehabilitate the skin because using a filler on a patient with poor skin quality does not produce the optimum results, and the filler might even make the skin look worse.”
5-When to refuse:
It’s crucial to keep track of your patients’ expectations. Wendy W. Lee, MD, of Bascom Palmer Eye Institute, remarked, “I have certainly had patients with unrealistic expectations, and I have turned folks away.” “Know when to say no” is one of the most fundamental tenets in cosmetic medicine, because so many people seeking cosmetic enhancement have unrealistic expectations.
Filler vs. Surgery:
Dr. Lee emphasizes that treatment for tear troughs must be tailored to the person because each patient’s structure is unique. “It involves a thorough examination of the patient’s anatomy and the severity of her tear trough deformity, as well as being realistic about what you can achieve with a filler vs surgery,” she explained.
“After that, you can figure out whether the patient is a better surgical candidate than a filler candidate or a candidate for another procedure like laser resurfacing.” Surgery may not be the best option if the patient’s tear troughs are subtle, with only a little contour defect between the eyelid and the cheek, because there may not be enough fat or skin to remove or reposition."
Some patients simply may not want surgery at this time, according to Dr. Lee. In these cases, she uses less invasive procedures like fillers to conceal a tear trough or prolapsed fat. Dr. Lee prefers to treat the periocular area with a variety of techniques, including botulinum toxin, dermal fillers, lasers, and, if necessary, surgery.
“Botulinum toxin is used to paralyze the muscles that cause wrinkles, fillers are used to fill in volume shortages, and the laser is used to improve skin texture.”
Contraindications of tear trough filler:
Although adverse responses to HA fillers are uncommon, they do happen. After HA injections, allergic, anaphylactic, and anaphylactoid responses have been recorded. Because of the low frequency of allergy with HA fillers compared to older treatments like bovine collagen, which required skin testing, skin testing is not commonly conducted.
1-Patient history is crucial:
Dr. Korn stressed the importance of obtaining a thorough medical history. Patients with active periocular skin infections should avoid HA filler injections until the infection clears up.
2-Discuss discoloration:
Patients should also be aware that HA injections in the tear troughs might cause the Tyndall effect, which is a bluish darkening of the skin. Some patients are unconcerned about it, while others are concerned. Some of the newer fillers, according to Dr. Korn, are less likely to have this impact.
3-Know the fillers:
Most commercial HA fillers, according to Dr. Goldberg, have more similarities than differences. “The two treatments I use around the eye are Belotero and Restylane,” he explained, “although people have fantastic results with all kinds of fillers.”
“However, edema is one of the risks associated with fillers, and some evidence suggests that Juvéderm may produce a little more edema around the eyes. Because the eye is so sensitive to edema, some suggest that Juvéderm, which is a great filler for other parts of the face, would not be the best choice for periorbital filling.”
4-Ten-year results:
Dr. Goldberg is currently releasing the results of his group’s 10-year experiment using fillers. “We’ve had patients with fillers that lasted five to seven years,” says the doctor. However, we discovered that the average time between reinjections was about a year.
As a result, every year or two, our patients receive maintenance injections around the eye." He went on to say that it’s possible to overfill a patient and that too many repeated injections over time can lead to consequences. A cautious approach is usually preferable.
Complications of tear trough filler:
Although lumps, pimples, a blue tint from the Tyndall effect, and hypersensitivity reactions are the most common consequences, some are more dangerous.
1-Swelling:
Edema around the eye is a serious complication for which the cause is unknown. “Some patients are prone to it,” Dr. Goldberg explained, “maybe because they have preexisting edema, and they may get a small allergic swelling.”
“Or they have hypothyroidism, heart disease, or some other form of systemic edema, in which case they are prone to fluid or chronic allergic swelling.” These patients are more likely to have boggy edema, which can emerge either early or late after the injection."
2-CRAO:
According to Dr. Lee, the most serious effect of dermal fillers is central retinal artery occlusion (CRAO), which results in lifelong blindness. Although CRAO is extremely rare (about 1 in 10,000 injections), anyone who injects filler should be aware of the risk.
There have been numerous incidents of blindness. For example, CRAO caused by dermal filler injection to the forehead was recently described in a case series1, and the Korean Retina Society published a retrospective study of 44 patients who had ocular artery or branch occlusion following cosmetic facial filler injections. 2 “Extreme caution and care should be taken with these injections,” the authors of the latter study wrote.
“The majority of documented cases involve huge boluses delivered within seconds,” Dr. Lee stated. Patients are in excruciating pain and lose their vision very instantly. It can happen with any filler, even fat, and in practically any location (glabella, nose, nasolabial folds)," says the author.
Her advice is to inject carefully, with little force, and to pay attention to the patient’s reaction. “Stay superficial and away from the neurovascular bundles in the glabellar region (the highest risk area3),” she advised.
Although examples of temporal injections have been documented, the bulk of reports—and the majority of patients that Dr. Goldberg and his colleagues have managed at UCLA—involved nasal or glabellar injection. "It’s likely that low-pressure injection is safer than fast injection. It’s possible that moving the needle slowly is preferable to injecting a bolus in one spot.
“It is appropriate to reflux the syringe (testing for arterial flashback) before injecting with fillers that enable reflux,” he stated. Cannulas may be less likely to produce intra-arterial injection, although he cautioned that this is not confirmed, and cannula use has resulted in blindness.
3-Other complications:
Tissue necrosis as a result of compression or putting the filler into a vessel are two other hazards. However, it appears that injections in the nose or nasolabial folds are more likely to cause necrosis than injections elsewhere on the face.
What type of filler is used?
We’re frequently asked what kind of filler we use. Mr. Ezra employs a variety of fillers for various parts of the face, each one specialized for a certain anatomical area. There are a variety of filler preparations on the market right now, and patients will be counseled on which one would provide the greatest aesthetic solution for them.
If necessary, our clinic exclusively employs filler preparations that are dissolvable and have a proven track record of safety. We never utilize any of the filler preparations that have been linked to problems.
Do results look natural?
Yes, the tear trough filler procedure has a natural appearance. Following the operation, patients will not appear significantly different. Mr. Ezra understands facial anatomy and how to achieve subtle yet evident outcomes as a highly talented practitioner.
During the initial appointment, a significant amount of time will be spent reviewing the patient’s expectations to avoid any unpleasant surprises after the procedure.
The majority of commercial fillers have more in common than they do differences. A major consequence is an edema around the eye. Facelift filler injections should be done with caution and attention.
What happens during the tear trough filler recovery period?
Treatment benefits are usually obvious straight quickly, and recovery is usually quick. Regular activities can resume quickly because there is no downtime, and many patients return to work the same day. However, for the first few days, there is a chance of bruising or swelling.
Patients can reduce swelling by gently applying a cold compress to the area every few hours, allowing heat and steam to reach the face. Before going to bed, apply an Arnica lotion to the tear trough region to assist decrease bruising.
Following the filler treatment, patients should avoid touching the region for at least six hours. After that, they can wash the area gently with water and soap, dabbing rather than rubbing it. For at least the first four hours after the treatment, patients should refrain from wearing make-up or utilizing other skincare products. Patients should also avoid activity and alcohol for two days, as well as excessive heat (such as saunas, sunbeds, and tanning) and cold for two weeks.
Frequently Asked Questions:
The following are some of the most frequently asked questions concerning this keyword:
1-How long do tear trough fillers last?
The tear trough fillers are designed to last 10 to 12 months. Because there are no imitation movements in this location, the tear trough filler may last longer.
2- Is tear trough filler painful?
Patients who have had tear trough filler treatment have generally indicated that it is not painful. The little injections can be painful, but the discomfort is mild. Many people say the procedure isn’t as unpleasant as they anticipated.
3- How much does it cost to fill tear troughs?
Expect to pay anything between $800 and $3,000. People with shallow hollows can use one syringe of filler split between each eye, while individuals with large hollows may need one whole syringe on each side, according to Liotta.
4- Can you go blind from tear trough filler?
Vascular problems are the most dangerous. Vascular occlusions can cause necrosis (tissue death), scarring, and, in the worst-case scenario, blindness. Indeed, 98 cases of blindness have been reported as a result of dermal fillers.
5- Can fillers ruin your face?
Excessive usage of fillers can cause long-term harm such as lip wrinkles, disruption of the connection of the facial fat pads, and some degree of irregularity and aging of the skin, in addition to stretching the skin.
6- Can under-eye filler go wrong?
Although more serious consequences from under-eye facial filler injections (tear trough rejuvenation) are uncommon, they can happen with any facial filler operation, even if it was performed by a certified and skilled injector.
7- Are tear troughs attractive?
The appearance of dark circles and deep lines around the eyes is not regarded as attractive. The sunken appearance of the lower eyelid region, which produces a shadow that is resistant to cosmetic concealing, is a pronounced tear trough (TT) deformity.
8- Are tear troughs permanent?
Tear trough implant is more intrusive than eyelid filler or eyelid fat injection, despite being a safe technique. As the little tear trough implant blends in with the surrounding cheekbone, the appearance is permanent and natural. It also helps correct negative orbital vector or eye prominence.
9- What is the best under-eye filler?
Juvederm is a filler that successfully addresses bags and dark circles beneath the eyes. It produces more obvious results, making it a viable option for people who have deeper hollows beneath their eyes. Juvederm is also preferred by some people because it contains a higher quantity of hyaluronic acid.
10- Can the tear trough go away naturally?
They will go away once the stress has been removed and you’ve had enough rest. Unfortunately, aging and even heredity can cause the tear troughs to darken or hollow out permanently.
A tear trough is a deep groove that runs from the bottom of the eyelid to the top of the cheek. It might throw a shadow underneath your eyes, making you look fatigued. Some people believe that their tear troughs give them an older look. Tear trough filler can assist to improve the appearance of the issue region under the eyes. A filler is injected into the delicate under-eye skin during tear trough filler treatment. Tear trough fillers enhance the appearance of dark circles by covering irritated and black blood vessels, making you appear less weary and brighter.
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