Is It True That Fillers Are Not for Tear Troughs?

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.

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.

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

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. 

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.