Is It True That Fillers Are Not for Tear Troughs?

Fillers can be used to soften the tear trough area. The choice of filler is important> I prefer the hyaluronic aced fillers because of their consistency, clear nature, and reversibility. Especially in this area, the skin is very thin, lumps may occur and it is nice to be able to inject a hyaluronidase which can smooth the area in a day or two. Autologous fat transfer is an excellent filler, however I prefer to perform this procedure in the operating room.

Fillers can be an effective means of softening the tear trough. Knowledge of anatomy is critical here because superficial placement of the filler can create visible asymmetries as well as a Blueish tint to the skin. Filler must be placed in the proper anatomic plane, preferably using an HA filler such as Juvederm.

 In a patient with the right anatomy and good skin, fillers are among the best ways to improve the tear troughs.  They work better and are more predictable than fat injections in my opinion.

The dark shadows beneath the eyelids, especially the inside half, can be challenging to improve. Use of the HA fillers such as Restylane and Juvederm can be successful IF performed very carefully, meticulously, and placed properly (usually deep to the slender muscle layer that is there). It is not unusual for some bruising to occur. These injections are best performed by the more experienced physician. Keep in mind that skin color and thickness, aged skin, and presence of fat all can... more

    Fillers are a very good means of ameliorating the appearance of tear troughs. My preference, and many others on this site, is Restylane. This is a delicate area, however, and make sure your physician is an board certified dermatologist, plastic surgeon or oculoplastic surgeon.