TEAR TROUGH FILLER: Everything You Need to Know!
- Posted on: Feb 28 2019
An interview with Kathryn woodcock, rn – Nurse injector
What is it?
Under eye filler or “Tear Trough Filler”, is the injection of dermal filler below the eyes to smooth and fill in the hollow appearance that becomes deeper as we age.
am I a candidate?
It is important you have a consultation prior to treatment, to determine whether or not you are even a candidate for the procedure.
Those with dark circles or “bags” under the eyes, are not a good candidate as this is a result of hyperpigmentation to the area. Tear trough filler is best for people who have minor fats pads or hallowing. Minor fats pads or hallowing is a result of our genetics. It can be found in your and older individuals and may also develop or deepen with time, as the collagen and elastin begin to breakdown, resulting in the skin sagging. In these cases, restoration usually involves the surrounding area as well.
What to consider…
While it’s easy to understand why this type of procedure has increased in popularity (we’re looking at your Katy Perry!), it is important to remember that it is also one of the riskier places to inject on the face due to its proximity to the eyes. Not to mention, the area around the eye is one of the hardest to achieve a natural result because the filler is injected above the bone, but below the muscle, while steering clear of any vessels.
It is important to remember that Tear trough filler will not erase the hollow appearance, but will improve it.
choosing your practitioner
DO YOUR RESEARCH and prioritize quality and safety!
If having tear trough filler is something you are considering, it’s not to be taken lightly and should only be performed by a licensed and experienced medical professional at a medical facility. This is not a time to bargain hunt or have it done at a home party. Your practitioner should provide you with appropriate and accurate information related to the side effects, risks, maintenance required, as well as price.
How much does it cost?
In BC, it can be between $750-$2,000, depending on volume loss of surrounding areas. Your practitioner will give you a quote after consultation, prior to treatment.
types of filler
There are many types of filler out there, however, Kathryn, our nurse injector at Clinic 805 prefers to use Teoysal & Redensity II, which were specifically designed for the tear trough area and won’t give a blue/gray shawdow or puffiness. They are both H.A. (hyaluronic acid) fillers, which are reversible.
Before your treatment you will want to avoid and blood thinners such as ibuprofen or aspirin, which can increase your likelihood of bruising. You will also want to avoid and supplements, such as fish oil and any alcohol for as long as you can. Some practitioners may say a day is fine, while others may say two weeks is better.
Your makeup will need to be removed, so we recommend coming to the appointment with a clean face.
Your injector will begin by preparing the site for injection with a medical grade skin cleanser to prevent infection. Then, they will either inject your undereye area directly or with the use of a cannula (a tiny tube that’s inserted above the cheekbone and used to distribute the product elsewhere). Your injector will go slowly, adding a bit of product at a time until they reach the desired result.
Many practitioners will “mold” the product gently with their fingers or a Q-tip to evenly distribute the product before it fully sets.
Your practitioner may apply ice to the area immediately to reduce swelling and bruising afterward.
Overall, the procedure usually takes approximately 30 minutes.
what to expect
It’s important to avoid contact to the are for the rest of the day to avoid infection (aka no make-up!).
Although pain is subjective, most patients here at the clinic rank the pain between 2-3 out of 10 (10 being the worst). A majority of patients tend to rank it much less after multiple visits, when they know what to expect.
You may feel tenderness after your treatment and are recommended to go home and relax. Some may experience swelling – which means you won’t get a full picture of your results until a few days later. If this doesn’t appear after 10 days, contact your practitioner.
Results typically last between 9-12 months. Some fullness may stick around for longer depending on your anatomy and how quickly your body dissolves the filler. Some individuals may notice results for up to 3 years.
Kathryn recommends getting a touch up before you lose all of your results, so you minimize the amount injected each time, plus any potential side effects.
Although swelling and bruising are common, more serious results can occur down the road. For example, six months after your treatment, your eyes could be red, swollen and tender. This is either a result of biofilm (an infection that forms around the filler) or a sensitivity reaction. This can be treated with hyaluronidase, antibiotics and/or oral steroids.
Another (incredibly rare) side effect is occlusion. This is the result of the filler being injected into a blood vessel. In even rarer occasions, it has enough force to get into the retinal artery, causing an ocular occlusion (blindness or partial blindness in one or both eyes). The chance of this happening is a minimal, however that doesn’t mean it’s impossible.
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