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Tear tough filler to reduce under eye dark circles

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This is a 46-year-old female who was seen by Emily Staggs APRN DCNP NP-C for soft tissue augmentation of the tear troughs with Juvéderm Ultra XC. She had 0.2 cc in her cheeks and  0.3 cc in her tear troughs. Her primary complaint was volume loss, which is associated with aging.

A tear trough is a deep crease between the lower eyelid and upper cheek. It can cast a shadow below your eyes, resulting in a tired appearance. Some people think their tear troughs make them look older.

In certain individuals, tear troughs are an inherited trait. In others, tear troughs become more prominent with age. That’s because facial tissues lose volume as you get older.

The goal of a tear trough filler is to reduce the depth of a tear trough. A trained medical professional injects a dermal filler into the area, making the skin look fuller and tighter. It’s a nonsurgical method of facial rejuvenation.

However, like other types of facial fillers, tear trough fillers have pros and cons. It’s important to understand the procedure and potential complications before getting the treatment. Tear trough fillers aren’t FDA approved and their use is considered off-label.

What is a tear trough filler?

A tear trough filler is an injectable treatment that’s used under the eyes. Its purpose is to add volume beneath the eyelids.

The product most often used in this area is one typically made of hyaluronic acid, although other ingredients may be used. Hyaluronic acid is a gel-like substance that naturally exists in your body. When injected into the skin, hyaluronic acid increases fullness and decreases indentations.

Are tear trough fillers safe?

Tear trough fillers are relatively safe. They’re also less invasive than tear trough surgeries, which include fat grafting and fat repositioning.

The effects of tear trough fillers are temporary, though. They only last about 1 year. You’ll need repeated treatments to maintain long-term results.

Who’s a good candidate for tear trough filler?

You might be an ideal candidate for tear trough filler if you:

• have mild to moderate sagging under the eyes
• have healthy, thick skin
• have realistic expectations
• understand the treatment is temporary
• are physically healthy

Alternatively, you may not be a good candidate if:

• your skin is very thin
• you have excess skin beneath the eyes
• your tear troughs are very deep
• you have fat bulging under your eyes
• you have an active skin infection in the area
• you have a medical condition that increases your risk of complications

We recommend scheduling a cosmetic consultation as a first step when considering fillers.