Tear Trough Filler

Dermal Fillers for Tear Troughs

Before and after tear trough fillers
Before and after tear trough fillers
Before and after tear troughs 1ml male
Before and after tear troughs 1ml male
Tear trough filler
Tear trough filler

Tear trough filler can be used to improve the appearance of the under eye area. Tear troughs are depressions starting from the inner eye and moving outwards and downwards towards the cheek. The “lateral tear troughs” are their mirror image that start from the outside corner of the eye and travel downwards and inwards from that point.

Many patients are concerned about their under eye area, even from a very early age, and this concern intensifies over time. They can be concerned about the dark circles and shadowing under the eyes, the hollowing under the eye, or pockets of fat under the eye).

For concerns with dynamic eye wrinkles please review our page on muscle relaxants for eye wrinkles

Dermal filler can be used to address these issues.

Treatments for eye ageing
Dermal filler can be used in tear troughs to reduce the appearance of eye bags or under eye hollowness. It is a very common treatment in our Sydney clinic
Before and after 3 treatments tear trough fillers
Before and after 3 treatment with dermal filler injected into severe tear troughs.
before and after tear trough filler
Before and after dermal filler in tear troughs, further treatment will achieve an even better result
Tear trough filler before and after
The after photo is 2 years and 5 months after the before photo (3 treatments of 1 ml were performed originally)
Before and after tear trough fillers
Before and after tear trough fillers
Tear trough and eye rejuvenation
Before and after dermal filler injections for tear troughs (patient also had anti wrinkle injections)

Choosing the type of dermal filler for the tear troughs

At our clinic we will only use dermal fillers for the tear troughs that are as safe as possible for that area. We use the products that have good lifting capability and attract the least amount of water. We also may use the fillers that are most smooth and have the least potential to tear trough filler lumpiness

Dose for tear trough fillers

The dose required for tear trough filler is variable, it depends on the  patient’s anatomy, and where the patient wants to get to in terms of results.

The injector will assess the tear troughs and decide on the best dose after taking a history and examining the patient. If a patient has a history of complications with dermal fillers, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen to start with.

We typically use a standard protocol for dermal filler treatment of the tear trough, which is

Treatment 1: 1ml dermal filler

Treatment 2: 4 weeks after treatment 1, 1ml dermal filler

Treatment 3: 4 weeks after treatment 2, 1ml dermal filler

Yearly treatments thereafter.

We often suggest other treatment modalities which work well to improve the results of dermal fillers in the tear troughs. The better the skin for tear trough fillers to sit under, the better the results of the tear trough fillers. We often recommend skinbooster, troughbooster, PRP, fractional laser resurfacing and RF micrneedling and plasma pen to get the under eye skin in tip top condition so that we can achieve the best results with the tear trough fillers.

When injecting the tear trough and under eye area with dermal filler, it is necessary to inject multiple areas to obtain the best results, and we also prefer to inject over 3 sessions to avoid the very common negative results of tear trough treatment, which include lumps and blue appearance (Tyndall Effect).


Pain relief during treatment

A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.

If a cannula is used, local anaesthetic may used prior to the cannula being introduced into the skin. Cannula may be used in the first treatment, but for greater precision, needles may be used in treatment 2 and 3.

There is local anaesthetic in the dermal filler

Ice is always used to decrease pain and to reduce the risk of bruising.

Nitrous oxide (happy gas) is available for patients to use for tear trough injections

What happens during the treatment itself?

The area will be cleaned with alcohol and chlorhexide to help prevent infections

Ice may be applied to the area briefly before treatment The doctor will inject using a needle. Then pressure with gauze will be applied.

If a cannula is used, a small injection of local anaesthetic may be injected into the skin and then a needle makes a small hole in the skin where the cannula is inserted.

How will I look after dermal filler in the tear troughs?

There may be redness and swelling, and red dots or bruising at the injection or cannula entry sites.

If cannula is used, bruising is less common.

Side effects /risks with dermal fillers in the tear troughs:

Please review the research on the safety of tear trough fillers.

Risks include the following:

  • Bruising: occurs in a significant number of cases.
  • Swelling: in the injection area will occur. This will last for aprox 48 hours
  • Tyndall Effect:Blue appearance of the dermal filler under the skin
  • Lumps: Our 3 session technique reduces the incidence of lumps
  • Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
  • Infection: is a very rare complication, but always a possibility when the needle goes into the skin.
  • Necrosis: (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring. The nose is susceptible to necrosis
  • Need for further treatmentIt may  take several syringes of product to get to where the patient wants to be.
  • Blindness: This should be discussed as there have been cases of it around the world
Before and after dissolving of filler lumps in tear troughs and reinjection
Before and after dissolving of filler lumps in tear troughs and reinjection
Please see some tear trough complications we had to fix.

After Tear Trough Filler

Instructions for care after treatment

No makeup for 4 hours

No heavy exercise that day

No acid face products for 24 hours

No spas no saunas, no hot yoga for 1 week post treatment

What to expect after the tear trough dermal filler  treatment?

The effect of the tear trough filler will be obvious immediately

Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.

Bruising will last 7-8 days

What if I get asymmetry at some time before the 4 week point?

Tear troughs are often asymmetrical to start with and your injector will do their best to work on this. In the early stages after treatment, sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 4 weeks. Treating asymmetry too early could lead to further asymmetry. Further treatment may be required to improve asymmetries

How long will the treatment last?

The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc.

With the dermal filler  that we use, typically the protocol is 3 treatments, 1 month apart then yearly treatments.

Cost of dermal filler in tear troughs

Cost is per syringe.

Please see our current dermal filler pricing

Please see our tear trough before and after images

Tear trough before and after fillers
Tear trough before and after fillers
Tear trough fillers
Tear trough fillers
Before and after tear trough fillers
Before and after tear trough fillers

There are other options available as well, including threadlifting.