If you are beginning to notice that the area under your eyes is getting darker and deeper you will know that your age is beginning to show. This area is known as Tear Troughs and is caused by a loss of soft tissue in the cheek area and a weakening in the lower eyelid of the orbital septum. This accentuates the bone which lies between the lower eyelid and the cheek.
Whilst there are many reasons, apart from the onset of age, for dark circles to show, if you have under eye hollows this is an area that is quite hard to treat surgically.
If you have tried all other options you may be tempted to have an advanced from of treatment using tear trough fillers. This treatment is proving very effective but must be performed by a qualified surgeon.
Treatment for Trough Fillers
A fairly thick filler must be used and it will be injected into the orbicularis muscle directly on the bone. It needs to be injected deeply enough so that the needle taps against the bone.
Pressure must be allowed to build up in the syringe barrel before the needle is withdrawn to avoid any filler being released in the wrong place . If this happens a small lump will occur.
After Effects
- The skin under theĀ eyes is very thin and bruising and slight swelling is common. However this will wear off after a few days.
- The results are immediate but will only last from 6-9 months and will need to be redone.
- Any lumps that may occur can be dissolvedĀ by the surgeon if a hyaluronic filler such as Restylane or Juvederm has been used by administering a small injection of Hyalase.
- There is always a slight risk of allergic reaction but this should be tested before treatment.






