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Dermal Fillers

What Are Tear Trough Fillers?

Discover the world of tear trough fillers: a non-surgical solution to under-eye hollowness and dark circles. Uncover the procedure, benefits, and potential considerations for this transformative cosmetic enhancement.

Introducing the world of tear trough fillers: a revolutionary approach to addressing under-eye concerns that has captivated the realm of cosmetic enhancements. As an innovative non-surgical solution, tear trough fillers have garnered attention for their ability to refresh and rejuvenate the delicate under-eye area, banishing hollows and dark circles to unveil a brighter, more youthful visage. This article delves into the intricacies of tear trough fillers, shedding light on their procedure, benefits, potential risks, and the essential considerations for those contemplating this transformative cosmetic journey. From understanding the treatment’s mechanism to navigating through its pros and cons, read on to discover the comprehensive guide to tear trough fillers and how they can redefine your confidence and outlook.

What Are Tear Trough Fillers?

Tear trough fillers, also known as under-eye fillers, are a cosmetic treatment used to address the hollowing or dark circles that can appear under the eyes. This area, known as the tear trough, can develop a sunken or depressed appearance due to factors such as aging, genetics, loss of facial volume, and changes in the skin’s texture and elasticity.

Tear trough fillers involve injecting dermal fillers, which are typically made from substances like hyaluronic acid (HA), into the tear trough area. Hyaluronic acid is a natural substance found in the body that helps maintain skin hydration and volume. When injected, it can add volume and lift to the under-eye area, reducing the appearance of hollowness and dark circles.

The procedure is performed by a qualified medical professional, often a dermatologist or a plastic surgeon, who has experience with facial injections. Tear trough fillers are considered a non-surgical option for rejuvenating the under-eye area and achieving a more refreshed and youthful appearance. The results are often visible immediately after the procedure and can last for several months, with individual variation depending on factors like the type of filler used and the patient’s metabolism.

Types Of Fillers Used For Tear Trough Correction

Several types of dermal fillers can be used for tear trough correction. The most common type of filler used for this purpose is hyaluronic acid (HA) fillers. HA fillers are popular because they are naturally found in the body and can provide both immediate results and the option for adjustments if needed. Some HA fillers specifically designed for tear trough correction include:


Restylane is a well-known brand of HA filler that offers different formulations, including some specifically designed for under-eye treatment. Restylane-L is a commonly used variant for tear trough correction.


Juvederm is another popular brand of HA fillers. Juvederm Volbella and Juvederm Vollure are formulations that are often used for treating the tear trough area.


Belotero Balance is an HA filler that can be used to address tear trough hollowing. It is known for its ability to integrate well into thin and delicate skin areas.


Teosyal Redensity II is an HA filler designed specifically for under-eye treatment. It combines hyaluronic acid with essential nutrients to improve the appearance of the tear trough area.

Restylane Lyft

While Restylane Lyft is often used for cheek and midface volumization, it can also indirectly improve the tear trough area by lifting the cheeks, which can reduce the appearance of under-eye hollowness.


Sculptra is a different type of filler that contains poly-L-lactic acid. It stimulates collagen production over time, leading to gradual volume restoration. It can be used to address under-eye hollowness, but it might require multiple sessions for optimal results.

The choice of filler depends on factors such as the patient’s specific concerns, the practitioner’s experience and expertise, and the desired outcome. During a consultation, a qualified medical professional will assess the patient’s needs and recommend the most suitable filler and treatment plan.

Pros And Cons Of Tear Trough Filler Treatments

Tear trough filler treatments can offer several benefits for individuals seeking to address under-eye hollows and dark circles. However, like any cosmetic procedure, there are also potential drawbacks to consider. Here are some of the pros and cons of tear trough filler treatments:


Non-Surgical Approach

Tear trough fillers provide a non-surgical alternative to addressing under-eye concerns. This means less downtime and a lower risk compared to surgical procedures.

Immediate Results

Patients usually see immediate improvements after the treatment, with reduced hollowness and improved under-eye appearance.

Quick Procedure

Tear trough filler treatments are typically quick, often taking less than an hour to complete.


Skilled practitioners can tailor the treatment to the patient’s specific needs, adjusting the amount of filler used to achieve natural-looking results.


Most tear trough fillers are temporary, meaning that if the patient isn’t satisfied with the results, the effects will fade over time.

Limited Recovery Time

While some bruising, swelling, or redness might occur, recovery time is generally shorter than that of surgical procedures.


Temporary Results

The effects of tear trough fillers are temporary, lasting anywhere from a few months to a year, depending on the filler used and the individual’s metabolism. This means that ongoing treatments may be necessary to maintain the results.

Potential Side Effects

As with any injection, there is a risk of side effects such as swelling, bruising, redness, and discomfort. In rare cases, there could be more serious complications, including infection, allergic reactions, or vascular complications.


The success of the treatment largely depends on the skill and experience of the practitioner. Choosing an inexperienced or unqualified provider increases the risk of poor results or complications.


The cost of tear trough filler treatments can add up over time, as the effects are temporary and may require maintenance sessions.

Not Permanent

If a patient is looking for a permanent solution to under-eye hollows, surgical options like lower blepharoplasty might be more suitable, although they come with their own set of risks and considerations.

Subtle Results

While tear trough fillers can provide significant improvement, the results are often more subtle compared to surgical procedures. Patients with severe under-eye hollows might not achieve complete correction with fillers alone.

The Treatment Procedure

The tear trough filler treatment procedure involves several steps, from consultation to aftercare. Here’s a general outline of what you can expect during a tear trough filler treatment:


You’ll begin with a consultation with a qualified medical professional, such as a dermatologist or plastic surgeon. During this consultation, you’ll discuss your concerns, goals, medical history, and any previous cosmetic treatments you’ve had. The practitioner will evaluate your under-eye area to determine if you’re a suitable candidate for tear trough filler treatment.

Pre-Treatment Preparation

On the day of the treatment, the treatment area will be cleansed to ensure it’s free of dirt, oils, and makeup. Some practitioners might apply a topical numbing cream to minimize discomfort during the procedure.

Injection of Filler

The practitioner will use a fine needle or a cannula (a thin, flexible tube) to inject the chosen dermal filler into the tear trough area. The injections are strategically placed to add volume and lift, reducing the appearance of hollowness and dark circles. The practitioner will carefully control the amount of filler used and the depth of injection to achieve natural-looking results.

Massaging and Shaping

After injecting the filler, the practitioner may gently massage the treated area to ensure even distribution of the filler and to shape it according to the desired outcome.

Assessment and Adjustments

Once the filler is in place, you and the practitioner will assess the immediate results. Additional filler might be added if needed to achieve the desired outcome.

Post-Treatment Care

You’ll be given specific aftercare instructions by the practitioner, which may include avoiding strenuous activities, excessive sun exposure, and touching the treated area. Some swelling, bruising, and redness are common after the procedure. These usually subside within a few days to a week.


Depending on the type of filler used and individual factors, you might be asked to schedule a follow-up appointment to ensure the results are satisfactory and make any necessary adjustments.

Potential Side Effects of Tear Trough Fillers

Tear trough filler treatments, like any medical procedure, can have potential side effects and risks. While these side effects are generally temporary and mild, it’s important to be aware of them before undergoing the treatment. Here are some potential side effects of tear trough filler treatments:


Swelling is a common side effect after the procedure. It’s usually temporary and can last for a few days to a week. Elevating your head while sleeping and applying cold compresses can help reduce swelling.


Bruising at the injection sites is another common side effect. It might take a few days to a week for bruises to fade. Using arnica cream and avoiding blood-thinning medications and supplements before the treatment can help minimize bruising.


The treated area might be slightly red immediately after the procedure. This usually subsides within a day or two.

Tenderness or Discomfort

Some patients experience mild tenderness or discomfort at the injection sites. This usually resolves on its own within a few days.

Lumps or Bumps

Occasionally, small lumps or bumps might develop at the injection sites. These can often be massaged by the practitioner to smooth them out.


There’s a small chance of uneven results or asymmetry, especially if the filler is not distributed evenly during the injection. Skilled practitioners strive for balance, but minor adjustments might be needed during follow-up appointments.


While rare, there’s a risk of infection at the injection sites. Practitioners take precautions to minimize this risk, such as using sterile techniques and proper aftercare instructions.

Allergic Reactions

Allergic reactions to hyaluronic acid fillers are extremely rare, as hyaluronic acid is a substance naturally found in the body. However, it’s still possible to develop sensitivity or an allergic response.

Vascular Complications

Though very rare, there’s a risk of vascular complications, such as occlusion of a blood vessel. This can potentially lead to tissue damage. Choosing a skilled practitioner who is knowledgeable about facial anatomy and injection techniques can help minimize this risk.

Tyndall Effect

With improper injection technique or placement, a bluish tint known as the Tyndall effect might occur. This happens when light scatters through superficially injected filler. Hyaluronidase, an enzyme that can dissolve hyaluronic acid, can be used to correct this issue.

Migration or Displacement

In some cases, filler material might shift slightly from its original injection site. This can usually be corrected by a skilled practitioner.

Frequently Asked Questions about Tear Trough Fillers

How long do tear trough fillers last? 

The duration of results varies, typically lasting from several months to around a year, depending on factors such as the type of filler used, individual metabolism, and lifestyle.

Is the tear trough treatment painful? 

Many practitioners use a numbing cream to minimize discomfort. While there might still be some sensation during the injections, the procedure is generally well-tolerated.

What is the recovery time? 

There’s often minimal downtime, but some swelling, bruising, or redness might occur. These side effects usually subside within a few days to a week.

Are tear trough fillers reversible? 

Yes, hyaluronic acid fillers are reversible using an enzyme called hyaluronidase, which can dissolve the filler if necessary.

When will I see results? 

Results are usually visible immediately after the treatment, although there might be some initial swelling. As swelling subsides, you’ll notice the full effects within a few days.

Can I combine tear trough fillers with other treatments? 

Yes, tear trough fillers can be combined with other cosmetic treatments, such as Botox or other dermal fillers, to achieve comprehensive facial rejuvenation. Your practitioner can provide guidance on suitable combinations.


Tear trough fillers have emerged as a popular non-surgical solution for addressing under-eye hollowness and dark circles, providing individuals with a refreshed and rejuvenated appearance. These treatments involve the precise injection of dermal fillers, often hyaluronic acid-based, into the tear trough area. The results are immediate and can last for several months, offering a temporary yet effective solution.

While tear trough fillers offer numerous benefits, including minimal downtime and quick procedures, it’s important to be aware of potential risks and side effects. Temporary swelling, bruising, and redness are common, but serious complications are rare when the treatment is performed by a skilled and experienced medical professional. Choosing the right practitioner is paramount. Seek out licensed medical professionals who specialize in cosmetic procedures and have a track record of delivering natural-looking results. During the consultation, communicate your goals and concerns openly, ensuring that you have realistic expectations and a comprehensive understanding of the treatment.

Ksenia Sobchak