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The tear trough starts to form in the late thirties and by mid to late forties can be quite prominent in most people.
It starts close to the inner corner of the eye, moving in a diagonal line outwards across the cheek.
It is perceived that the area looks darker (it may not be) as it casts a shadow but it can give a tired appearance. The tear trough forms as a result of fat loss in this area and is part of the aging process. It can occur quite rapidly in some people.
Tear troughs can be improved with a light dermal filler. It is a skilled procedure and requires a medically qualified practitioner with advanced skills in injecting dermal fillers. Only a doctor should carry out this procedure.
Juvederm® 2 or 3 is used depending on the thinness of the skin.
It will rise quite a lot during the first five to seven days followed by sustained swelling for about one week. You will be given instructions specifically to you, as each individual's response is different. The procedure should never be undertaken lightly but can have a marked improvement on the appearance of tear troughs.
In some patients more diffuse volume losses can be treated with Sculptra® - please see the Sculptra page for more details. Usually two to three treatments are needed but one vial can make a visible difference in the right patient.
Dr Brookes has much experience with both treatment types.
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