Under-Eye Filler (Tear Trough): Is It Right for You?
The tear trough — the groove between the lower eyelid and the cheek — is one of the most delicate and technique-sensitive areas to treat with filler. When done well, the results are transformative. When done poorly, they can be problematic. Here's everything you need to know to make an informed decision.
What Causes Under-Eye Hollows?
Under-eye hollowing and dark circles can result from several factors:
- Volume loss in the tear trough area due to aging
- Thinning of the skin, which makes underlying structures more visible
- Genetics (some people naturally have deeper tear troughs)
- Fat pad migration in the cheek, which creates a shadow under the eye
How Does Tear Trough Filler Work?
A small amount of hyaluronic acid filler is carefully placed in the tear trough groove to fill the hollow and reduce the shadowing that creates the appearance of dark circles. The result is a more rested, refreshed, and youthful under-eye area.
Am I a Good Candidate?
Tear trough filler works best for hollowness caused by volume loss, rather than dark circles caused by pigmentation or visible blood vessels (which require different treatments). Ideal candidates have good skin elasticity and are not experiencing significant puffiness or bags under the eyes. A thorough consultation is essential to determine suitability.
What Should I Know About the Risks?
The tear trough area is highly vascular and the skin is extremely thin, making it one of the higher-risk areas for filler. It's essential to choose a highly experienced injector for this treatment. In the right hands, it is very safe and produces beautiful results. Potential side effects include bruising, swelling, and a bluish tint (Tyndall effect) if filler is placed too superficially.
How Long Does It Last?
Tear trough filler typically lasts 9 to 12 months, though results vary. Because the skin in this area is thin and mobile, it may metabolize filler more quickly than other areas.
Wondering if tear trough filler is right for you? Book a consultation with one of our expert injectors to find out.
