Tear Trough Fillers

The type of filler we use will depend on the severity of the hollowing as dermal fillers vary in consistency and suitability.

At 1111 Harley St., we often use Teosyal Redensity II that was specifically created to alleviate signs of ageing around the eyes. It’s made of cross-linked hyaluronic acid that allows it to spread and blend more easily and absorbs more moisture for longer-lasting results. It also contains nourishing minerals, antioxidants and amino acids to enhance the rejuvenating, anti-ageing and brightening effects.

The filler may contain Lidocaine to minimise discomfort during treatment. Alternatively, we can apply a topical numbing cream. Following this, your injector will make a series of injections. The Doctor or nurse may use a cannula to improve precision and control. This injectable technique also helps to minimise bruising.

Tear trough fillers are suitable for those with dark circles, loss of volume under the eyes and the early signs of ageing around the eyes. Some people have a genetic predisposition to developing dark circles, which can worsen with age as the skin becomes thinner and fat displacement begins to cause shadowing.

An ideal patient will have darkness due to volume loss, rather than those who are experiencing an accumulation of fat an excess fluid under the eye leading to an under-eye bag. Under-eye bags are often confused with dark circles as the under-eye bags can cause a shadow under the eyes. However, they may require laser resurfacing treatments or surgical removal.

For those with darker skin tones, under-eye dark circles can be more noticeable. However, when the appearance of dark circles is due to pigmentation or vascular issues, fillers are less successful.

The skin in this area is the thinnest on the body, making it particularly vulnerable to environmental damage and ageing. Dark circles appear due to thinning of the skin, loss of fat (creating hollowing and a tear trough deformity), and hyperpigmentation. Ageing, diet, lack of sleep and hydration, smoking, inflammation, allergies, skin tone and genetics can also play a role in the formation of dark circles and tear trough deformity.

At 111 Harley St., we favour the use of Redensity II for tear trough fillers. The combination of hyaluronic acid, amino acids, vitamins and minerals help to restructure and re-strengthen the eye area and replace lost volume. The hyaluronic acid improves skin hydration, and the vitamins fight ageing around the eyes to prolong the results.

The results will be immediate but will continue to improve as swelling and bruising dissipate.

The results will last approximately 6-12 months.

One treatment should suffice, but you may desire to have a top-up after a couple of weeks.

Tear trough fillers take approximately 20 minutes.

You may experience bruising and swelling following tear trough fillers which will usually subside within a couple of days to one week.

• Possible blindness – incorrect tear trough filler placement such as injecting into a blood vessel
• Tyndall effect – if the filler is injected to close to the surface of the skin, it can create a blue tint that is visible through the skin
• Bumpiness