This method was advocated in Mendelson’s 2012 study – instead of filling the tear trough directly, filler could be used in the mid-cheek to help lift and support the tear trough ligament from beneath, reducing the appearance of prominent tear troughs. It is possible to replace volume in the mid-cheek using dermal fillers to correct this problem. Loss of volume in the mid-cheek can also cause hollowing between the lower eyelid and cheek and exacerbate the appearance of tear troughs. The hyaluronidase would need to be injected beneath the globe as well, which could be difficult and dangerous without the assistance of ultrasound guidance. This may cause puffiness and a significant amount of difficulty in dissolving the filler with hyaluronidase (an enzyme that breaks down the injectables) should this occur. If filler is injected behind the septum, then essentially the filler is placed under the globe (the ‘eyeball’). The orbital septum is the septum that divides the front and back of the orbit. Filler injection directly into the tear trough can lead to inadvertent injection of filler beyond the orbital septum.The tear trough ligament in many cases strongly tethers the skin to the orbital bone, and this makes it difficult if not impossible to lift with fillers.During this time, the filler may migrate to other areas in the lower eyelid or orbit and cause lower eyelid puffiness.Fillers placed in this area often last for many years.We no longer recommend under eye filler injections using this method for the following reasons Tear trough fillers often last longer than cheek, lip or forehead fillers, because this area of your face doesn’t move very much which means that there are more risks associated with it.Ī common technique for correcting tear troughs is to inject dermal filler directly into the groove between the lower eyelid and cheek. Injecting around the eye area is more difficult and requires more precision than other procedures. When injected into the space under the tear troughs, hyaluronic acid reduces depth and improves the appearance of dark circles. The type of filler that is used is usually made of hyaluronic acid, which is a substance that naturally exists in your body. ![]() ![]() ![]() The appearance of tear troughs can be reduced with the injection of dermal fillers. How can I treat my tear troughs with dermal filler?
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