Tear trough fillers are injectable dermal fillers used to improve the appearance of the under-eye area, specifically the tear troughs, which are the hollows or dark circles that appear under the eyes. These hollows can create the appearance of tiredness, aging, or deep lines. The procedure involves the use of hyaluronic acid-based dermal fillers (or sometimes calcium hydroxylapatite or poly-L-lactic acid), which are injected into the tear trough to restore volume, smooth out the skin, and rejuvenate the under-eye area.
The result is a more youthful and refreshed appearance, with a reduction in the appearance of dark circles, puffiness, and hollowing.
Indications:
Hollowing or sunken under-eye areas: To restore volume and improve the contour of the under-eye region.
Dark circles: By filling the hollows, light is reflected more evenly, which may reduce the appearance of shadows or dark circles.
Fine lines and wrinkles: Filling can help smooth out any lines in the delicate skin around the eyes.
Tired appearance: To give a refreshed and rejuvenated look to the under-eye area.
Mild to moderate volume loss in the tear trough region caused by aging, genetics, or lifestyle factors.
Contraindications:
Active skin infections in or around the eye area, such as conjunctivitis, cold sores, or any other dermatitis.
Severe allergic reactions to the ingredients in dermal fillers (especially hyaluronic acid-based products).
Pregnancy or breastfeeding: The safety of dermal fillers during pregnancy or breastfeeding is not well-established.
Autoimmune diseases: Conditions such as lupus, rheumatoid arthritis, or any disorder that affects the immune system may increase the risk of complications.
Severe dark circles caused by pigmentation: Tear trough fillers can help with hollowing but are less effective for treating pigmentation issues.
Blood clotting disorders or anticoagulant therapy: Individuals with clotting disorders or those on blood thinners may be at increased risk of bruising and swelling.
Previous adverse reactions to injectables: If a patient has had negative reactions to dermal fillers in the past, the procedure should be reconsidered.
Pregnancy or breastfeeding: The use of fillers during pregnancy is generally not recommended due to the lack of safety data.
Aftercare:
Avoid touching or massaging the treated area: This helps prevent displacement of the filler.
Ice packs: Apply ice to the treated area to reduce swelling and bruising. Do not apply ice directly to the skin—use a clean cloth or gauze to avoid direct contact.
Avoid intense physical activity: Refrain from strenuous exercise or activities that cause excessive sweating for 24–48 hours after the procedure to reduce the risk of swelling and bruising.
Avoid alcohol: It is advisable to avoid alcohol consumption for at least 24 hours post-treatment as it can increase the risk of bruising.
Sun protection: Keep the treated area protected from excessive sun exposure and use a broad-spectrum sunscreen on the face to prevent further irritation or pigmentation issues.
Sleep position: Try to sleep with your head elevated for the first night after the procedure to minimise swelling.
No makeup: Avoid applying makeup on the treated area for at least 24 hours after the procedure to reduce the risk of infection and irritation.
Follow-up appointments: In some cases, a follow-up appointment may be scheduled to assess the results and, if necessary, make any adjustments.
