Getting tear trough fillers are one of the fastest-rising treatments today, and for a good reason. There are many of us, both men and women, who want to erase the lines that may have begun to appear under our eyes—and tear trough fillers do precisely that (semi-permanently, anyway). It essentially de-sinks the area under your eyes and fills it back with volume, leaving you looking bright and healthy. It's a quick and virtually painless treatment and a more long-lasting solution than applying a light-reflecting concealer under the eyes. Who doesn't want that?
But let's back it up a bit. Before we jump into the magic of tear trough fillers, let's start with the definition of tear troughs.
Tear troughs are the 'depressions' or lines that run down from the corners of your eyes to your cheek, and the depth can vary from person to person. We're all born with tear troughs, of course, but as you age, your tear troughs will lose volume, resulting in a sunken and tired appearance on your face.
Like we've mentioned, an easy solution to covering up your sunken under eyes or deepening tear troughs is to use a light-reflecting concealer to create the appearance of full under eyes. But with time (and stress), these deep lines begin to look more prominent, and concealer might not cut it for you anymore. If you're looking for a more powerful, long-lasting solution than a concealer, you might want to consider getting a tear trough treatment.
If you're interested, first assess if you're the right candidate for it. Don't be afraid to have a conversation with a practitioner to see if you're eligible! If you merely want to treat under-eye discolouration, this might not be for you. What this treatment does is fill your deep tear troughs with hyaluronic acid to restore the volume under your eyes, not explicitly erase the discolouration of your skin.
Once you've figured out if you're eligible for a tear trough treatment, the procedure itself is simple and straightforward. After consulting with your chosen practitioner on how to proceed (this includes which brand of filler to be used, the correct dosage and the number of treatments required), the prep time for you won't take too long. At least three days before the procedure, be sure to avoid alcohol, caffeine and medication that can exacerbate bruising or thin your blood. This goes for all dermal filler treatments, and you should follow the same rules post-treatment.
Your practitioner will apply a topical numbing cream to your under-eye area before injecting the fillers directly into your tear troughs using either a fine needle or a cannula (which is a tiny tube inserted into the skin that can distribute the product elsewhere with minimal bruising). The process usually takes an average of 15 minutes until your practitioner has completed your designated dosage. Because the skin under your eyes tends to be thinner, you might feel a slight pinch. Overall, any discomfort will be alleviated thanks to the topical numbing cream and the lidocaine already in the filler.
After the procedure, you'll be able to see the results immediately, albeit with minor swelling and perhaps some bruising. But as with most dermal filler treatments, swelling and bruising is normal and will fade quickly (it'll take a few hours for the swelling to wane and a few days for the bruises to disappear). If it doesn't, you'll have to contact your practitioner for a thorough check-up. Otherwise, you'll be given a specific skincare regimen for your under eyes while they're healing, so it's best to relax for the next few weeks until the fillers have entirely settled. These fillers can last anywhere from eight to twelve months, depending on how your body takes to the filler.
On the whole, tear trough treatments require a more skilled, keener eye because the skin under your eyes is relatively thin and sensitive—and more susceptible to damage compared to, say, lip or jaw fillers. Though the treatment is non-invasive, there are still chances (however slim) that you may develop an adverse reaction to tear trough fillers that can result in skin occlusions like the Tyndall effect, where a bluish-grey shadow can appear under your eyes when the filler is placed too close to the surface of your skin. Above everything, find yourself an expert practitioner who knows what they're doing and will tailor your treatment to suit what's appropriate for you.