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Understanding Tear Trough Filler

The Science Behind It

Tear trough filler injections are a popular cosmetic procedure designed to address under-eye hollows and create a more youthful, refreshed appearance.

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The tear trough, located beneath the eye, can become hollowed out over time due to several factors:

  • Loss of Collagen and Fat: As we age, our bodies naturally produce less collagen and elastin, the proteins responsible for skin firmness. This leads to thinning skin and a decrease in facial volume, causing the under-eye area to appear sunken.

  • Genetics: Some individuals are genetically predisposed to having deeper tear troughs due to thinner skin or less subcutaneous fat in this area.

  • Sun Exposure: Prolonged sun exposure can damage collagen and elastin, further contributing to under-eye hollowness.

Tear trough filler injections involve injecting hyaluronic acid (HA) gel into the tear trough area. HA is a naturally occurring substance in our bodies that helps to hydrate and plump the skin.

Here’s how it works:

  1. Dermal Fillers: Dermal fillers, like those containing HA, are injected beneath the skin’s surface.

  2. Volume Restoration: The HA gel adds volume to the tear trough, effectively filling in the hollows and creating a smoother transition between the lower eyelid and cheekbone.

  3. Hydration: HA attracts and retains water molecules, helping to hydrate the skin and improve its appearance.

The results of tear trough filler injections are typically immediate and can last for several months to a year depending on individual factors such as metabolism and product used. Regular touch-up appointments may be required to maintain the desired results.

What Causes Under-Eye Hollows

Tear troughs are the recessed area under the eyes, often appearing as dark circles or shadows. While genetics and aging play a role, several factors can contribute to their prominence.

Tear Trough Filler How Often

One primary cause is volume loss in the underlying fat pads that naturally cushion this delicate area. As we age, collagen and elastin fibers, responsible for skin’s elasticity, break down, leading to sagging and thinner skin.

Additionally, thin or pale skin can accentuate under-eye hollows. This can be due to genetics or sun exposure, which damages the skin and reduces its thickness.

Another factor is bone structure. Some individuals have naturally shallower orbits (the bony sockets that hold the eyes), making them more susceptible to tear trough prominence.

Lifestyle factors can also contribute. Sleep deprivation, dehydration, allergies, and smoking can all exacerbate under-eye hollows by impacting blood flow and skin hydration.

Lastly, medical conditions like thyroid disorders or vitamin deficiencies can sometimes manifest as sunken eyes, further contributing to the appearance of tear trough hollows.

How Fillers Work To Address Them

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It’s Me and You Clinic – Anti-Wrinkle, Dermal Filler and Skincare Clinic, Kingston, Surrey
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Kingston upon Thames, Surrey, United Kingdom KT2 6LX

Tear trough filler is a cosmetic procedure designed to address the under-eye hollows, also known as tear troughs, which can make eyes appear tired and aged.

These hollows often develop due to a combination of factors like loss of fat volume with age, thinning skin, and genetic predisposition.

Filler injections, typically made with hyaluronic acid (HA), are strategically placed beneath the skin to restore volume and smooth out the depression.

Tear Trough Filler How Often

Hyaluronic acid is a naturally occurring substance in the body that attracts and holds water, providing hydration and plumpness to the skin.

Here’s how tear trough fillers work:

  1. Injection Technique:

  2. A skilled injector carefully inserts a fine needle or cannula under the skin of the tear trough, depositing small amounts of filler precisely in targeted areas.

  3. Volume Restoration:

  4. The hyaluronic acid filler plumps up the hollow, restoring lost volume and creating a smoother transition between the under-eye area and the cheek.

  5. Hydration:**

  6. HA’s ability to attract water helps keep the skin hydrated, further enhancing the appearance of fullness and reducing the appearance of fine lines and wrinkles.


The results are typically immediate and can last anywhere from six months to a year or more, depending on factors like the amount of filler used, individual metabolism, and lifestyle.

Choosing the Right Filler

Types of Fillers Approved for Tear Troughs

When considering tear trough filler treatments, selecting the right filler type is crucial for achieving natural-looking results and minimizing risks.

Several factors influence the ideal choice, including the patient’s individual anatomy, skin thickness, desired outcome, and any underlying concerns like allergies or medical conditions.

Hyaluronic acid (HA) fillers are the most common option for tear troughs due to their versatility, safety profile, and reversible nature. HA fillers attract and hold water, adding volume and smoothing out depressions.

Different HA fillers vary in density, texture, and longevity.

Here’s a breakdown of some popular HA fillers often used in the tear trough area:

– **Lighter-weight fillers:** These are ideal for individuals with thin skin or those seeking subtle enhancement. Examples include Juvederm Volbella XC and Restylane Silk.

– **Medium-weight fillers:** This category offers a balance between volume and natural appearance. Popular choices include Juvederm Ultra XC and Restylane Refyne.

– **Thicker, firmer fillers:** These are suitable for patients with deeper hollows or those desiring more dramatic results. Examples include Juvederm Voluma XC and Radiesse.

Choosing a filler based solely on density can be misleading. It’s crucial to consider the specific product’s characteristics and consult with an experienced injector who can assess your unique needs and recommend the most suitable option.

Beyond HA fillers, there are alternative options like calcium hydroxylapatite (CaHA) fillers, but these are less commonly used in tear troughs due to their potential for firmer results that may not be ideal for this delicate area.

It’s important to emphasize the need for thorough consultations with qualified medical professionals. They can evaluate your anatomy, discuss your goals, and guide you towards a safe and effective treatment plan using the right filler for tear trough enhancement.

Hyaluronic Acid: The Popular Choice

Hyaluronic acid (HA) has become a popular choice for tear trough filler due to its numerous benefits.

Here’s why hyaluronic acid is often the top pick:

  • Natural Occurrence: HA is naturally found in our bodies, specifically in skin and connective tissues. This means it’s well-tolerated by most individuals and less likely to cause allergic reactions.

  • Hydrating Properties: HA is a humectant, meaning it attracts and holds moisture. This helps to plump up the under-eye area, minimizing the appearance of hollows and dark circles.

  • Temporary Results: HA fillers are temporary, typically lasting 6 to 18 months. This allows for adjustments as desired and minimizes the risk of permanent changes.

  • Versatility: HA fillers come in various viscosities (thicknesses), allowing for customized treatment depending on individual needs and tear trough depth.

  • Reversible: If needed, HA fillers can be dissolved using an enzyme called hyaluronidase. This provides peace of mind and the ability to undo any unwanted results.

While hyaluronic acid is a widely preferred choice, it’s crucial to consult with a qualified and experienced injector to determine if it’s the best option for your individual needs and concerns.

Other Considerations: Duration and Texture

Choosing the right dermal filler for tear trough treatment requires careful consideration of several factors, with *filler type*, *duration of effect*, and *texture* being paramount.

**Filler Type**

Tear troughs often benefit from fillers containing hyaluronic acid (HA), a naturally occurring substance in the body that attracts and holds water. HA fillers are popular due to their biocompatibility, ability to be easily reversed with hyaluronidase, and relatively low risk of complications.

Different HA fillers vary in density and viscosity. For tear troughs, **cross-linked hyaluronic acid** fillers are generally preferred, as they provide more structure and support.

Some popular options for tear troughs include:

* Juvederm Voluma XC: A thicker, longer-lasting filler suitable for deeper hollows.

* Restylane Refyne and Defyne: Designed for midface volume and contouring with a smoother, more natural look.

* Belotero Balance: A versatile filler with a smooth texture that can be used to fill in fine lines and depressions.

**Duration of Effect**

The duration of a dermal filler’s effects depends on several factors, including the type of filler used, individual metabolism, lifestyle, and sun exposure. Generally, HA fillers last from 6 months to 2 years.

It’s important to note that **initial results may not be fully visible immediately**. The treated area may continue to settle for a few weeks post-treatment.

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**Texture**

The *texture* of the filler is crucial for achieving natural-looking results in the delicate under-eye area. A too-firm or stiff texture can result in a “filled” appearance, while a *too-soft texture may not provide enough support.

For tear troughs, fillers with a smooth, gel-like consistency are often preferred.

Consulting with a Qualified Professional

Choosing the right dermal filler for tear troughs requires careful consideration and expertise.

Tear troughs, the hollows beneath the eyes, are a common area of concern as we age due to loss of volume, fat pad descent, and thinning skin. Fillers can effectively address these issues by adding volume and restoring a more youthful appearance.

There are various types of dermal fillers available, each with different properties suited for specific applications. Hyaluronic acid (HA) fillers are a popular choice for tear troughs due to their biocompatibility, ability to attract and retain water, and reversible nature.

Hyaluronic acid fillers come in different concentrations and viscosities. A thinner consistency may be suitable for subtly smoothing fine lines and wrinkles, while a thicker filler can provide more volume and lift.

For tear troughs, a hyaluronic acid filler with medium to high viscosity is often preferred. This allows the injector to precisely place the product and achieve optimal results without creating excessive swelling or lumps.

Consulting with a qualified professional, such as a board-certified plastic surgeon or dermatologist experienced in facial aesthetics, is crucial for determining the best filler for your individual needs.

They will assess your facial anatomy, skin type, and desired outcome to recommend the most suitable product and treatment plan.

During the consultation, discuss your concerns, expectations, and any previous treatments you’ve received. It’s also important to inquire about the injector’s experience with tear trough fillers and their approach to achieving natural-looking results.

Be sure to ask about potential risks, complications, and aftercare instructions. A qualified professional will provide clear and honest information to help you make an informed decision.

Maintenance and Longevity

Expected Lifespan of Results

Maintenance and longevity of tear trough filler results vary depending on several factors, including the type of filler used, individual skin characteristics, lifestyle choices, and the skill of the practitioner.

Generally, tear trough fillers can last anywhere from 6 to 18 months. Hyaluronic acid fillers, which are commonly used in this area, tend to be absorbed by the body over time. The exact duration depends on the specific formulation of the filler and the individual’s metabolism.

Maintaining the results of tear trough fillers involves regular touch-up appointments. These typically occur every 6 to 12 months to replenish the hyaluronic acid and keep the under-eye area looking smooth and youthful.

Lifestyle factors can also influence the longevity of results. Sun exposure, smoking, and excessive alcohol consumption can break down collagen and elastin, leading to faster filler absorption.

It’s important to choose a qualified and experienced practitioner who uses high-quality fillers. Proper injection technique is crucial for achieving natural-looking results and maximizing the longevity of the treatment.

By following your practitioner’s aftercare instructions, protecting your skin from the sun, and maintaining a healthy lifestyle, you can help extend the duration of your tear trough filler results.

Factors Affecting Filler Duration

Dermal fillers, particularly those used for tear trough rejuvenation, offer a popular and effective solution for addressing under-eye hollows and creating a more youthful appearance. However, one common question arises: how long do these fillers last? The duration of filler results can vary significantly depending on several factors.

Here’s a breakdown of the key elements influencing filler longevity in the tear trough area:

  1. Filler Type: Different hyaluronic acid (HA) based fillers possess varying molecular weights and densities. Larger, more robust HA molecules tend to provide longer-lasting results compared to smaller, lighter molecules.
  2. Individual Metabolism:** Everyone’s body processes substances at its own pace. Individuals with faster metabolisms might experience filler breakdown more quickly than those with slower metabolisms.
  3. Area Treated: The tear trough is a delicate and dynamic area, subject to constant muscle movement and expressions. This increased activity can contribute to quicker filler dispersal and degradation.
  4. Lifestyle Factors:** Sun exposure, smoking, and alcohol consumption can accelerate collagen breakdown and potentially shorten filler duration.
  5. Injection Technique: The skill and expertise of the injector play a crucial role. Proper placement, volume distribution, and product selection contribute to optimal longevity.
  6. Sun Protection: Consistent use of broad-spectrum sunscreen can protect the delicate skin under the eyes from UV damage, helping preserve filler results.

While individual experiences vary widely, hyaluronic acid fillers typically last anywhere from 6 to 18 months in the tear trough area. Regular maintenance treatments are often recommended to maintain desired results.

Lifestyle Choices and Skin Concerns

Tear trough filler treatments are designed to address the hollowness and shadows beneath the eyes, creating a smoother, more youthful appearance.

Understanding the longevity of these results is crucial for both patients and practitioners.

While individual factors play a role, most tear trough fillers last anywhere from 6 months to 18 months.

Several lifestyle choices can influence how long filler effects remain visible.

Avoiding excessive sun exposure is paramount, as UV radiation can break down hyaluronic acid, the primary component of most fillers, leading to faster degradation.

Smoking can also diminish results due to reduced blood flow and collagen production.

Maintaining a balanced diet rich in antioxidants helps protect skin cells from damage and supports collagen synthesis.

Staying hydrated is essential for plumpness and elasticity, which can contribute to filler longevity.

Certain skin concerns can also affect the results of tear trough filler treatments.

Fine lines and wrinkles may need additional treatments or complementary procedures, such as a topical retinol cream.

Uneven skin tone or pigmentation issues can be addressed with laser therapies before or after filler injections to achieve optimal aesthetic outcomes.

Skin type also plays a role.

Oily skin tends to metabolize fillers faster than dry skin types.

Regular touch-up appointments are often necessary to maintain the desired results and address any changes in the appearance of the tear trough area.

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