Is It True That Fillers Are Not for Tear Troughs?

I have very deep tear troughs that are genetic. I recently went to a dermatologist that informed me that fillers would not help my situation. She said fillers are not meant for the tear trough. Should I see a second opinion? Should I see a plastic surgeon instead of a dermatologist?

Doctor Answers 17

Injections could work, but they aren't for everyone...

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It’s not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, hyaluronic acid fillers are very effective for treating this problem. Under these circumstances fillers can minimize tear troughs and ultimately improve peri orbital aesthetics.
It’s extremely important to individualize the treatment of tear troughs. In some patients the lower eyelid skin is extremely thin and for this reason injectable fillers aren’t always indicated. In this situation injections may be accompanied by nodules and bluish discoloration.
It’s important to realize that lower eyelid filler injections can be very effective for treating tear trough deformities but aren’t for everyone with this condition. For this reason it’s important that patients with tear trough deformities be evaluated by a board certified plastic surgeon. This surgeon should be able to formulate an appropriate treatment plan for this problem.

Fillers can soften the tear trough

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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.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 35 reviews

Fillers are GOOD for tear troughs

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 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.

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Tear trough fillers

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Hi- thanks for your question! Fillers can be an excellent way to manage under-eye hollowness. I am especially fond of Restylane for this purpose. Make sure you chose an injector that is an expert in the anatomy of this area to ensure a safe and effective treatment.

Tear trough filler

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Hi there! 

Fillers can be successfully used to restore and improve the tear trough area providing experienced hands. Personally I use a soft hyaluronic acid based dermal filler for this area. Make sure you contact a highly trained aesthetic practitioner with plenty of experience with the tear trough area as it is a complex area. 

Hope this helps!

Dr Rupert

Fillers not for tear trough

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If the primary cause of your under eye dark circles is skin hyperpigmentation, then you will not be a suitable candidate for tear trough dermal fillers.

Most hollow tear troughs are mainly due to volume loss and suitable for treatment with a dermal filler, so I would suggest you seek an opinion from an oculoplastic surgeon who performs a large volume of tear trough dermal filler treatments. 

Sabrina Shah-Desai, MS, FRCS
London Oculoplastic Surgeon

Tear Trough Injections

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Tear trough injections are great and really soften the dark circles associated with this problem. There are several products that are easily instilled in this area. Second Opinion?? Absolutely! 

Fillers For Tear Troughs

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Dear azwildcats:

Dermal fillers can be used to soften up tear troughs.  You would thorough assessment to see if you are ideal candidate that would benefit from fillers in this area.  In Canada, I have Teosyal Redensity II at my disposal which works with great effect to soften up tear troughs.  Best wishes.

Not true

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This question was posted several years ago. Today, there is a Health Canada approved filler for the tear troughs: Teosyal Redensity II. It is designed for the area to fill out the undereye hollows. I’ve performed the procedure many, many times with great results.

Under Eye Fillers, Tear Trough Filler Injection

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Under eye (Tear Tough) are can be improved with inj. filler or Fat grafting. 

Use of blunt Cannula can help to minimize the bruising in this area.

Good knowledge of Anatomy & minimum amount of filler in desired area gives best results.

M. Khawar Nazir, MBBS, MS(Derm)
Pakistan Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.