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Under Eye

Many consider the eyes to be the window to the soul. Facial ageing is a three-dimensional process involving the skin, underlying fat, muscle and bone. Areas around the eyes are often the first regions of the face to demonstrate the early signs of ageing.

As we age changes in the skin mean that the amount of collagen and elastin in the skin reduces. The collagen and elastin that remains is often disorganised. This results in thinning of the skin and alongside a reduction of hyaluronic acid content wrinkles and fine lines begin to develop. This is particularly the case for the areas around the eyes and makes us look more tired than we actually are.

What is the tear trough?

Around the lower eyelid there is a complex arrangement of parcels of fat. During the ageing process these parcels of fat lose volume and essentially become deflated. Ligaments that bind these parcels of fat also begin to stretch and become lax. This all leads to a sagging effect. Hence an indentation appears between the lower eyelid and the cheek. This area is defined as the tear trough.

Can dermal fillers be used to treat the tear trough?

Yes. Hyaluronic acid dermal fillers are the first line treatment for addressing the tear trough region. Small injected deposits of filler into the volume depleted parcels of fat help to re-establish the youthful contour around the under eye region and reduce the extent of the tear trough region. However, treatment of this region of the face is the most complex of all dermal filler treatments. This sort of treatment should only be performed by an experienced cosmetic doctor.

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©Individual results may vary.

The skin under the eyes is the most pigmented and thinnest of the face. With ageing the pigmentation of this region can increase and become darker. In addition ageing results in the development of fine lines and wrinkles that are worsened by excessive sun exposure and smoking. Dark circles are worsened by tear troughs. As hollows areas develop in the under eye area dark circles become darker. This is due to the way light falls on the face. Hence treatment of the tear trough can improve dark circles but will not necessarily make them disappear completely.

Tear trough are the most challenging region of the face to treat with dermal fillers. Indeed the experience and skill of a cosmetic doctor can be judged on their tear trough results. Possible side effects of treatment of the tear trough with dermal fillers include significant bruising, damage to the eye, nerve injury to the infraorbital nerve and even vascular complications. If performed by a well experienced and trained cosmetic doctor who knows detailed facial anatomy, this procedure is very safe with fantastic results. It should especially not be performed by non-medically trained individuals and in salons.
At Rejuvence Clinic we are experts at treating tear trough deformities and have a large amount of experience. Indeed the majority of dermal fillers work we get is for tear trough deformities. Successful treatment of the tear trough can help to open up the eyes, rid you of that tired look and improve dark circles.

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