What are Tear Troughs?
The area between your lower eyelid and your upper cheek is known as the tear trough. Through the effects of gravity due to aging or even through natural genetics, this area can become longer, deeper and appear more shadowed. When this occurs, dark circles can appear making us appear more tired than we actually are. At times, there are prominent dark veins that are contributing to this shadowing which can be treated with the ND YAG 1064nm laser (Link Periorbital Blue Veins). Other contributing factors are excess melanocytes which have darkened the skin. However, more often, it is just a shadowing effect that is created from hollowing associated with volume loss in this region.
Tear Trough Treatment
Hyaluronic acid fillers are a synthetic product that match your body’s own natural hyaluronic acid. It comes in a variety of molecular sizes, which allows us to treat this sensitive region with a very fine product. With the use of a small needle or cannula, a very small amount of filler is injected into the tear trough region to replace the volume loss which is causing the shadowing. It is gently manipulated with a finger or q-tip to move it to the regions of hollowing. It is always better to undertreat rather than overfill this area, so the goal is soften and improve the shadowing, not completely eliminate it. The filler also provides a hydrophilic effect attracting water molecules to the region resulting in an plump and more natural appearance. As there are extensive small blood vessels in this region of your face, there is a high risk of developing some mild to moderate bruising from the injection sites. We will do everything possible to avoid this, but please be prepared for some recovery.
Although hyaluronic fillers will natural dissolve through your body’s natural processes, the results in this region tend to last much longer. Oftentimes you will only need to repeat the procedure every few years.