The term “tear trough” refers to hollowing of the area under the eyes between the eyelid and cheek. Some of us are born with deep tear trough hollowing, while in others this change develops as our cheeks gradually descend due to aging. Hollowing in the tear trough area can make us look sad or tired even if we feel happy and rested. The goal of correction in this area is to smooth the transition between the lower eyelid into the cheek. In those patients who have under eye hollowing due to sagging of the cheeks, it is often necessary to correct both the cheeks and the tear trough to achieve best outcomes.
Injectable Correction
Correction of the tear trough is best achieved using injectable soft tissue fillers, such as Restylane. While soft tissue fillers can correct dark circles caused by under eye hollowing, skin discoloration from blood vessels can also play a part in the appearance of the lower eyelids. If vascular changes are causing dark circles, lasers and topical skin care products may also be recommended.
After Treatment Care
As some bruising and swelling can occur after tear trough correction with soft tissue fillers, we recommend discontinuing aspirin and any other medications or supplements that thin the blood for several days prior to treatment. If a doctor has instructed you to take a blood thinner, please obtain permission before changing your daily medication routine.
There is very little aftercare required following correction of under-eye hollows. Cold compresses used intermittently for the remainder of the day of your treatment can help reduce the chances of developing bruising and swelling. In the event you do develop bruising after your injections, please call our office and we will arrange a complimentary laser treatment to help the bruising resolve quickly.