What Is A Tear Trough?

The tear trough is the groove at the junction the lower eyelid and the cheek. One of the common changes to happen, as we age, is the appearance and gradual worsening of dark circles under the eyelids. This occurs due to the thinning of the overlying skin and soft tissue over the bony orbital rim. A band of tethering fibrous tissue called the orbitomalar ligament, binds the skin underneath the lower eyelid to the underlying bony rim of the eye socket.

When we are young, this ligament is usually not visible, this is due to the surrounding plump fat, thicker overlying skin and soft tissue surrounding this structure. However, with age, atrophy of the adjacent tissues and thinning of the skin occurs, leading to increased visibility of this deep attachment between the skin and orbital rim- the result? Hollow tear troughs and dark circles.

So how can we treat this? – Tear Trough Fillers

An increasingly popular treatment is the use of injectable fillers. Tear trough fillers essentially fill out the trough. By replacing the loss of volume at the junction between the upper cheek and lower eyelid patients eliminate the need for surgery and dramatically improve their appearance. Dark patches under the eyes are often down to shadowing within the trough itself. The fillers contain hyalauronic acid– a natural tissue component produced by the body that not only provides patients with a safe solution but also effectiveness.

The aim of the treatment is to place the filler below the skin and soft tissue around orbitomalar ligament. This lifts the tissues, making the tear trough appear shallower. In most patients there is an almost immediate improvement with a reduction in the depth and width of the tear trough itself.

Prices start at £200