Assessing Tear Troughs for Filler Placement

When injecting, the “length” of a tear trough ( ie the distance between the lashline and the lid cheek junction) is an important factor to consider.
Longer tear troughs can make someone look older and or more tired
Patients often think the “depth” of their trough is their main issue, when sometimes it’s the “length” or a combination of both, like in this case below.

Tear trough case study

The length of a tear trough is important
The length of a tear trough is important. Here we can see in the before image the tear trough is longer, and in the after, it has been shortened.

Often a long tear trough is caused by a lack of projection ie flatness or concavity of the front cheek.

Troughs do require adequate support in the midface, so our initial focus in a trough treatment is to shorten it if that’s required.
Also the complications of lumpiness and Tyndall effect are less likely when addressing the midface support of the troughs.
This patient had 1ml, 0.5mls each side.
We would recommend further skin treatment, filler treatment and skinbooster for the patient in this case study.

Keeping a Tear Trough Appearance Natural

It is important to remember that tear troughs are a part of normal human anatomy. It is normal to have a slight depression and this occurs in young patients.

As we age, the tear trough in general gets longer and more deep. This anatomy of longer and or deeper troughs can also occur in some younger patients.

For patients who prefer to keep a more natural appearance, we will, in general, shorten the tear troughs to an attractive length, but we may leave a small, natural depression in the troughs.

Tear trough before and after
Tear trough before and after

For an appointment for tear trough assessment, please

  • Call the clinic on 93315005 or
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