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Dermal Fillers

What are Tear Trough Fillers?

Tear trough fillers are injectable masses injected to fill tear troughs that appear sunken or hollow. The common fillers are hyaluronic acid, polylactic acid, PMMA, calcium hydroxylapatite, and polyalkylimide. Tear trough fillers have no downtime, minimal risks, enhance facial features, and trigger collagen production.

The lower eyelid skin may appear hollow or sunken due to a congenital condition or signs of ageing. The facial skin around the eyes and cheeks will appear sagged. At 25, the skin will start to show signs of ageing, like wrinkles, because the body produces less collagen.Collagen is a protein found in connective tissues, skin, tendons, and cartilage; it is responsible for maintaining skin structure and elasticity. You cannot revert ageing but can make the signs of ageing less pronounced by using cosmetics or fillers. This article will explain what rough fillers are and how they are used.

Tear Trough Fillers

According to Deshmukh et al. (2016),a tear trough filler is a dermal filler injected into the tear trough skin to increase skin volume. The added volume will raise the skin removing the hollowness. The tear trough area may appear sunken or hollow because of age or a congenital condition. Lack of sleep may also contribute to a concave tear trough.

Types of Tear Trough Fillers

Calcium hydroxylapatite

According to Shirshakova et al. (2020), calcium hydroxylapatite is a mineral in human bones and enamel that helps bone growth. Calcium hdroxylapatite is used in dermal fillers biosynthetically produced to reduce the risks of allergic reactions. Calcium hdroxylapatite fillers help enhance cheeks’ fullness, add volume, and treat wrinkles and nasolabial folds.

Hyaluronic Acid

Dovedytis et al. (2020)explained that hyaluronic acid is a slippery substance found in human joints, skin, and the fluid surrounding the eye. It helps the skin remain flexible and hydrated and ensures smooth joint movements. Hyaluronic acid filler enhances face fullness and redefines lip lines and borders. Hyaluronic also helps to fill the tear trough.

Polylactic Acid

According to Christen & Vercesi (2020), polylactic acid is a biodegradable filler that triggers collagen production. Polylactic filler dissolves into the body when injected. The polylactic acid effect is delayed because collagen production takes at least two weeks. Polylactic acid helps fill fine lines, plump thin lips, and treat nasolabial folds.


Karthik &Mohan(2017)explained that polyalkylimide is a temporal filler that treats deeper wrinkles, plumps thin lips, and treats facial wasting. Polyalkylimide does not react with the body but a thin layer of collagen forms around it; after a month,collagen will surround polyalkylimide. A single injection delivers much volume; this can be crucial in treating facial wastage and improving volume.

Polymethyl-methacrylate microspheres

A Polymethyl-methacrylate microsphere (PMMA) is more permanent in treating deep wrinkles than collagen replacement therapy. PMMA helps to treat wrinkles, improve the volume and treat scars. PMMA lasts longer than other fillers; thus,small doses are injected over three months during treatment until the desired result is achieved.

 Tear Trough Fillers Procedure

The cosmetic doctor will examine the skin and map the injection points, giving the impression of the desired outcome. Then they will apply an anaesthetic on the mapped area to numb the injection points. The process is not painful, but you will initially feel some discomfort. The cosmetic doctor will proceed and inject the filler of your choice.

Benefits of Tear Trough Filler

No Downtime

The effect of tear trough fillers is immediate. You do not have to wait for months to heal or notice the effect. You can also resume work after tearing through fillers unless it involves heavy lifting.

Minimal Risks

Tear trough procedures are relatively safe. You can only experience minor side effects, which will disappear shortly.

Enhances Facial Features

Tear trough fillers can enhance facial features by treating hollow tear troughs and improving facial volume. Filled cheeks will make cheekbones more pronounced.

Triggers Collagen Production

Polylactic fillers trigger collagen production. Collagen is crucial in skin structure and elasticity; having more collagen will give you a youthful look.

Side Effects of Tear Trough Fillers

Fillers are generally safe when done by qualified personnel like an aesthetician practitioner. You can experience minor side effects like pain, swelling, or bruising. Applying an ice pack may minimise these effects, but it is not advisable since ice is not sterile, and it may distor the shape the doctor just created. Major complications with tear trough fillers are infections at the injection points or a fractured blood vessel. You can avoid such complications by doing fillers at a hospital with qualified personnel. You should also buy fillers at the hospital.

Cost of Fillers

The cost of fillers depends on the type, the doctor’s experience and location, and the number of syringes you will need. Tear trough fillers range from £600 to £1000 per syringe. However, the measurements can be broken down for lower prices.

FAQs about Trough Fillers

What to Do After Tear Trough Fillers?

Avoid itching and scratching; massaging the treated area unless instructed to stroke it. Use soft soaps when cleaning your face for a week.

How Long Do Tear Trough Fillers Take to Settle?

Tear trough fillers will take two weeks to settle. During recovery, you can carry on with work, but it should not involve heavy lifting and sweating.

After How Long Should You Redo Tear Trough Fillers?

Tear trough fillers take at least a year to wear off; some take more. Depending on your type choice, you will redo your tear-through fillers after a year or more.

What Is the Cost of Hyaluronic Acid Filler?

Hyaluronic filler is the most used filler, costing £350 to £700 a syringe.


Tear trough fillers are injectable masses used to improve volume in people with sunken or hollow tear troughs. An open or concave tear trough may result from age or is a congenital condition. Tear trough fillers are common because they have immediate results, minimal risks, trigger collagen production, and enhance facial features. The common fillers are hyaluronic acid, polylactic acid, PMMA, calcium hydroxylapatite, and polyalkylimide. The tear trough procedure takes 30-45 minutes, depending on the number of injections you need. To minimise complications, you should do tear-trough fillers at a qualified doctor’s hospital.


Christen, M. O., & Vercesi, F. (2020). Polycaprolactone: How a well-known and futuristic polymer has become an innovative collagen-stimulator in esthetics. Clinical, Cosmetic and Investigational Dermatology13, 31.

Deshmukh, S. N., Dive, A. M., Moharil, R., & Munde, P. (2016). Enigmatic insight into collagen. Journal of oral and maxillofacial pathology: JOMFP20(2), 276.

Dovedytis, M., Liu, Z. J., & Bartlett, S. (2020). Hyaluronic acid and its biomedical applications: A review. Engineered Regeneration1, 102-113.

Karthik, R., & Mohan, N. (2017). Dermal Fillers. International Journal of Oral Health Dentistry3(1), 6-9.

Shirshakova, M., Morozova, E., Sokolova, D., Pervykh, S., & Kayumova, L. (2021). Cosmetic Syndrome Correction with Calcium Hydroxylapatite-Based Filler in Patients with Connective Tissue Dysplasia. Dermatology research and practice2021.

Monika Wasserman