Tear Trough Fillers – Things To Know

Ophthalmologist Perspective- The eyes are the perfect example of form and function. If you ever had any issues with your eyes and eyelids, you know what I mean. 😊

These are some thoughts that go through my mind before and during the procedure. Sharing knowledge, so you can have a better understanding and experience.

Tear trough fillers are very complex to do properly. The anatomy is complex, and complications are impossible to cover up, unless you live in sunglasses.

1. Recognize who is not a good candidate. People with lots of allergies, who tend to swell and rub their eyes often, as well skin laxity and bags under their eyes are NOT good candidates. They can opt for surgical correction, lasers and microneedling to tighten the skin, but not fillers, which will make them look puffy under the eyes.

2. Assess need to support the medial cheeks and lateral support with temporal filler, before or instead of treating tear troughs. Since multiple areas may need treatment, this influences the cost, and it varies from person to person.

3. Choose the correct filler. Fillers that bring lots of water in are not good choices, as they can create a bluish, puffy look.

4. Place the correct amount in the correct tissue plane. The goal is always to underfill. Over time, the hyaluronic acid on the fillers will attract water. It lasts for many years, so less is always more here.

5. Different techniques are available. Needles and cannula can place filler at different depths for different purposes. Delicate touch and nuance are required to create an elegant result.

Best advice: Find someone who makes this look easy.

Dr. Shternfeld is a Board Certified Ophthalmologist, with extensive experience with tear trough fillers.

Please call 860-999-4865 to schedule your consultation.