Under Eye Fillers – 5 Things You Need to Know

In this age of social media, the importance of appearances seems to increase by the day and thankfully – so are the techniques and methods available to maintain these beauty standards.

Once considered quite a difficult area to treat, removing dark circles under the eyes has always been a huge focus of skin products, creams, and makeup techniques, but nowadays the solution has become ever so accessible with methods such as tear trough fillers.

Tear Trough Fillers - 5 Things You Need to Know

What causes dark circles and puffiness under the eyes?

Dark circles under the eyes are extremely common in both men and women. They usually appear alongside puffiness under the eyes, and give an appearance that makes you look old, tired, or sleepy.

Dark circles under the eyes may have several causes such as:

  • Old age
  • Fatigue
  • Genetic
  • Dehydration
  • Skin damage by the sun
  • Natural pigmentation of the skin

Dark circles under the eyes are traditionally quite difficult to get rid off, but thankfully tear-trough fillers can address this issue very successfully.

What are tear-trough fillers?

Tear trough fillers (also known as under-eye fillers, or eye bag fillers) are dermal fillers injected into the area under the eyes in order to restore volume loss and reduce the appearance of dark circles or puffiness.

Under-eye fillers are injected just beneath the tear-trough, adding volume and tightness so that it becomes level with the nearby skin. This reduces the appearance of dark circles or puffiness under the eyes.

Depending on your doctor and the where you’re from, tear-trough fillers cost around $700-$1000 per syringe (1). Most people only require 1 syringe.

5 things to know about tear-trough fillers:

1. Not everyone is a candidate for tear-trough fillers

Tear-trough fillers are designed to target those who have been complaining of volume loss.

Certain people complaining of dark circles under the eyes may have a skin pigmentation or a skin or genetic disorder that may have caused the dark circles to form.

If this is the case, then tear-trough fillers unfortunately will not help as they will be unable to correct any dark-circles that have been caused by a pigmentation.

You can tell if you are a right candidate for tear-trough fillers by standing in front of a mirror and shining a bright light directly on the dark circle under your eye, if the darkness disappears then getting tear-trough fillers may be a wise decision.

2. Tear-trough filler results are instant

Similar to getting fillers in other parts of the face (e.g. nose, lip, or jaw fillers), the effects of dermal fillers can be seen almost immediately once they are injected.

Despite this, their appearance can also reduce or increase, even up to a week after the injections, due to bruising or collection of water and fluids.

Bruising is extremely common and should be expected, therefore the appearance directly after getting injected may be larger than the final result, but it’s only temporary and a result of the bruising and swelling.

3. Tear-trough filler risks

Like other dermal fillers, injection and penetration of  skin is involved, and this carries several risks such as:

  • Bruising and swelling
  • Skin rashes and itching
  • Asymmetry
  • Acne-like eruptions
  • Skin redness
  • Necrosis
  • Rarely and most serious – blindness

The area under the eyes is extremely sensitivity and is highly vascular, so getting injections in this area is tricky as the practitioner needs to avoid numerous important blood vessels.

The most important and significant side effect of getting under-eye fillers is blindness, and this can happen if dermal filler is mistakenly injected into a blood vessel (2), rather than under the skin.

For this reason it’s extremely important to only get this treatment done at a licensed and trusted board-certified specialist. Rather than beauty and medical spa’s, choose instead to get a consultation form a medical doctor, or better yet, a board-certified dermatologist or plastic surgeon.

Ensure that you’re only getting dermal fillers that include hyaluronic acid (e.g. Restylane, Juvederm), as this can be dissolved and reversed within 48 hours using a natural enzyme.

4. How long do under eye tear-trough fillers last?

Dermal fillers in general are not permanent, and so is the case with fillers that are injected under the eyes.

How long these fillers may last varies greatly, and depends on several factors such as the type of dermal filler used, and your metabolic rate.

In general, you can expect that tear-trough fillers can last around 15 months (3).

5. You’ll probably need to come back for a follow-up appointment

After your tear-trough filler session, your doctor or practitioner may advise you to return for a follow-up appointment in around 2 weeks.

This is to make sure that everything is fine and that there is no persistent bruising or other side-effects.

During this session it’s also likely for your practitioner to give you extra tear-trough filler touches concerning the circles under your eyes.

This means that you may need to get a little more tear-trough filler injections or even get some areas dissolved, to ensure adequate balance on both sides and that you are satisfied with the results.

Under eye fillers – Conclusion

If you’re complaining of under-eye puffiness and dark circles, then consider getting tear-trough fillers. They last a long time in comparison to other fillers and the effects are quite noticeable.

Having dark circles under the eyes can give the whole face an appearance of fatigue and with under eye fillers these can be reduced drastically.

Below are some transformations that were made possible through the use of tear-trough fillers:

Tear-trough fillers before and after

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TEAR TROUGH – tear trough is a treatment suitable for patients that have a visible "hollowness" under the eye, similar to the "before picture" on the patient above. The filler lifts this part up and the patient will look refreshed, and less tired. Treatment of tear troughs is not suitable for patients with visible undereye bags, or if you have a very saggy skin in the undereye area. The treatment can sometimes be performed anyway, but the result is NOT gonna be as good as it would be with a suitable candidate. When suspecting very low elasticity in the skin, the doctor should always perform a so called "snap test", to evaluate the elasticity of the skin. You pinch the skin lightly and then you let go. If the skin holds in the same position for 3 seconds or more, the elasticity of the skin is too poor for performing a treatment of tear troughs. TEAR TROUGH – tear trough är en behandling som passar väl för patienter som har en synlig hålighet eller fördjupning i området under ögat, liknande det patienten har på "före-bilden" som kan ses ovan. Filler verkar genom att lyfta upp denna hålighet och resultatet blir att patienten ser uppfräschad ut, och mindre trött. Behandling av tear troughs är ej lämpligt för patienter med synlig påsighet under ögonen, och inte heller för patienter med dålig elasticitet i huden i detta område. Ibland kan behandlingen utföras ändå, men resultatet kommer då INTE bli lika bra som när behandlingen utföras på en god kandidat. Vid misstanke om för låg elasticitet i huden bör läkaren alltid genomföra ett s.k. "snap test", där man bedömer elasticiteten genom att nypa huden lätt och sen släppa. Håller sig huden kvar i samma position i 3 sekunder eller mer, har huden en alltför dålig elasticitet för att filler i tear trough ska kunna bli snyggt.

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SIGNATURE MID FACE & TROUGH LIFT I really love how sometimes you have to look closely at the differences. Then you spot just how subtle, yet relevant the changes are 😍 Makes me so excited 😁 Swipe for pointers. Mid face restoration and treating the hollow rim under the eye has allowed for the face to look more lifted but also shorted the gap between eye and cheek. (Distance here can make the face look more aged and flat). Also note the sprinkle of enhancement of her nasolabials. Softer, feminine and fresh 💗 Tear Trough & Mid Face⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 🌎 Leeds, York, London and Manchester⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 💣Must be done by an experienced injector 💉Hyaluronic acid droplet Microcannula (blunt needle which minimises trauma and downtime) ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 🤕Painless and minimal recovery ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⏱Lasts 12-18 months on average ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 📧info@skindoctorleeds.co.uk ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 📞 Please see bio ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ 🖥 www.skindoctorclinics.co.uk Note: ©️ Skin Doctor Clinics. Patients pictures must not be used without our written permission. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ #teartrough #teartroughs #teartroughfillers #eyebags #eyehollows #yorkshire #bbloggersuk #mua #botox #manchester #leeds #york #skin #aesthetics #igers #follow #potd #darkcircles #hudabeauty #antiageing #kardashians #potd #instadaily #fillersleeds #instagood #instafamous #cheekfiller #drsaleenazimri #jawlinefiller

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Written by Dr. Khaled Mahmoud

Khaled Mahmoud completed his dental education and obtained his Bachelor of Dental Surgery (BDS) in 2017. His interests lie in cosmetic dentistry and non-surgical facial aesthetics. He is active in dental research, contemporary cosmetic materials and techniques, and has been a member of numerous public health outreach programs.