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Tear Trough
As we age, the hyaluaronic acid in the skin diminishes as cells lose their ability to produce it. As a result, the skin becomes drier, thinner and less able to restore itself. The loss of skin fullness also means that the skin becomes looser. All of these factors contribute to volume deficit and dissatisfaction with the eyes – otherwise known as the tear trough.
The tear trough, also known as a nasojugal groove, extends from the inner corner of the eye, following a semicircular arc and transitioning to the palpebromalar groove. A deep tear trough can create a shadow that is perceived as a dark circle below the eye. It also creates a division between the lower eyelid and cheek that is an early sign of aging around the eyes.
Patients with deep tear troughs often complain that they look more tired and older than they really are.
- Dark under eye circles
- Loss of cheek volume
- Anteromedial fat pad separation
- Lower face falling
- Jowls
Who is a candidate for tear trough filler?
Patients who are good candidates often complain of a ‘hollow look’ or dark circles under they eyes; they may also point out enlarging fat pockets in the lower eyelids. Selecting appropriate patients for tear trough treatment requires expert judgment. Excellent candidates have good skin elasticity and adequate skin thickness.
The position of the orbital rim to the tear trough is also an extremely important consideration. For these reasons, not everyone is a good candidate for treatment of the tear trough. However, Minela will do a an assessment and a recommended plan prior to administering the treatment.
The choice of filler for the tear trough
Restylane is an ideal filler choice for the tear trough for many reasons. It unique consistency creates a natural rejuvenation in the tear trough. It is also long-lasting, often greater than a year. And finally, since it is a hyaluronic acid filler, it can be broken down with hyaluronidase injection, if necessary. Belotero is another hyaluronic acid filler that can work well in the tear trough.
Unfortunately, not all fillers are well suited for the tear trough. Juvederm exerts a very hydrophilic plumping effect under the eyes, creating a very conspicuous ‘puffy’ look that can persist for several months. And while many injectors have tried filling the tear trough with collagen, Radiesse, Artefill, and even silicone, these other filler materials have been associated with unwanted side effects and poor cosmetic outcomes.
Do you use a cannula for under eye injections?
Patients often ask if we use a blunt cannula for the tear trough technique. The answer is yes. Minela is an expert in non surgical
Rejuvenation. Minela knows her planes of injections (superficial & deep) and feels confident in her abilities in such a delicate, challenging area. Minela does also use a needle a cannula when needed – she makes an educated decision based on the patients and their anatomy.
What Should I Tell my Provider Before Treatment?
- Have had or plan to have surgery on your face, neck, or chin
- Have had cosmetic treatments on your face, neck, or chin
- Have had or have medical conditions in or near the neck area
- Have had or have trouble swallowing
- Are pregnant or plan to become pregnant
- Are taking any medications, especially blood thinners