Tear Trough deformity (hollow under eyes) is a concave hollowing that occurs under the eyes and often becomes more pronounced as we age. It can be worsened by bulging of the fat pad under the eye. It leads to a shadow under the eye which gives a tired and worn-out appearance. Tear Trough are primarily caused by the effects of ageing, which influence the structure and firmness of the skin. As the skin, muscle tissue, and ligaments weaken, the skin surrounding the eyes loses its structure. Fat pads can move into the empty space beneath the lower eye lids, creating a puffy appearance. In addition, the bone structure around the eye socket shrinks, resulting in reduced support for the eyes.
A mild hollowing under the eyes is normal and doesn’t require treatment. If hollowing is more prominent, you can consider treatment.
Treatment choice depends on the severity and type of Tear Trough deformity present.
Treatment options include:
Dermal Fillers are most suitable for tear troughs that are hollow with minimal fat bulges. Dermal Fillers can be used to fill in the hollow areas and create support to the surrounding tissue.
Generally, Tear Troughs that have a large amount of excess fat bulging below the eyes are more suited to surgery.
If lines and skin laxity are more prominent, then laser therapy or surgery may be the best choice.
Each patient has individual anatomy, goals, and facial balance so we assess each patient carefully and individualize every treatment. Included in the assessment is a careful observation of your Tear Trough area while smiling and at rest, your facial shape, and your facial proportions. The clinicians at Face To Face Medical are highly skilled and strive for the best and most natural result possible.
The aim with Dermal Fillers is to correct the hollowing around the eye which will improve skin quality, lines and blend the eyelid with the cheek to give a rested and youthful appearance. In addition, it will provide extra support to the tissues around the eyes.
Initially the support around the eye area is addressed by injecting Dermal Fillers deep in the surrounding area, often including the upper cheek area. This is to replace the bone that has shrunk over time, contributing to tear trough deformity. Often cheek filler alone can improve the tear trough deformity by adding support and lifting the area.
This is followed by injecting deep under the muscles to replace the volume lost under the eyes.
Lastly, the areas around the eye are blended to create a soft, rested, and youthful appearance.
Fluid retention under the eye from Dermal Fillers treatment is a potential issue as filler attracts water. To reduce this risk, we aim to use as little filler as possible in this area. Treatment can be repeated after a few weeks if required.
Dr Dahlia Tauber is a national and international clinical trainer and lecturer in the use of Dermal Fillers. She and her team of highly skilled clinicians are all extremely experienced in the treatment of Tear Trough deformity.
A thorough assessment and consultation followed by a treatment plan is discussed with you. Each patient has individual anatomy, goals, and facial balance so we individualize every treatment. Included in the assessment is a careful observation of your facial movements in animation and at rest, your facial shape, and your facial proportions. Photographic documentation is part of every initial assessment. The clinicians at Face To Face Medical are highly skilled and strive for the best and most natural result possible.
The pre-packaged Dermal Fillers gel contains Lignocaine (a local anaesthetic) so discomfort during Tear Trough Dermal Fillers injections is usually minimal.
A fine needle or micro-cannula (fine blunt tipped instrument) is used to inject the filler into carefully targeted areas of the face and Tear Trough, with the treatment usually lasting 30 -60 minutes.
Results are seen immediately. Our treatments do not affect facial expression and we avoid overfilling the Tear Trough. Our aim is to rejuvenate and enhance while maintaining a natural look.
Puffiness under the eyes may occur as filler attracts water as well as poor fluid (lymphatic) drainage in this area. For this reason, we only inject a small amount of filler under the eyes.
If filler is injected too superficially it can lead to a blue appearance, called the Tindell effect.
Due to the proximity to the vessels to the eyes, the risk of a vascular occlusion (blocking the blood supply) to the eye is increased. This procedure should only be performed by highly skilled experienced injectors who have a thorough knowledge of facial anatomy.
Recovery is usually minimal.
Bruising and swelling may occur and may last up to 2 weeks. Temporary, minimal tenderness at the treatment site that can last for a few hours or, at times, a couple of days.
We advise avoiding strenuous activities such as exercise for 24 hours post procedure.
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Face To Face Medical, a team of skilled practitioners who are cosmetic experts delivering personalized treatments and care.