Injecting filler in the tear troughs is one of the most difficult cosmetic treatments in the face. The skin in the area is very thin, and if not injected carefully it is possible to see lumps of filler under the skin, or even a “blueish colour” due to light being reflected from the filler. The area is also prone to swelling and bruising. Careful injection of filler will minimise the risks of lumpy and visible filler under the eyes. An injection performed with a blunt tipped micro-cannula, as opposed to a sharp needle, is not only less traumatic, with less bruising and swelling, but also allows deeper filler placement with minimal lumpiness. The use of cannula will permit much more accurate filler placement, and your results will be much more natural looking. Everyone breaks down filler at a different rate, but on average it would take six to twelve months for the filler to dissolve naturally. If you are very unhappy with the result, your cosmetic physician should be able to dissolve the filler.