In the lower eyelid area a weakening of the orbital septum and muscles, and a reduction in cheek volume tend to accentuate the appearance of the bony orbital margin which lies between the lower eyelid and the cheek. There can also be bony changes as we age, making the tear trough area larger and more visible.
This ‘tear trough’ depression is then seen as a dark shadow or hollow which can give the appearance of being tired or looking older.
Specialised dermal fillers can be used to treat this area, both restoring volume, and improving skin elasticity. Restoring cheek volume can also help with reducing the tear trough.
To be done safely, a specialised cannula (not needle) is the preferred method of injection for this area.
Mild cases or dark circles can be related to genetic factors, allergies, stress, poor general health, and lack of sleep. For these milder cases, a skin booster or mesotherapy treatment may be sufficient to improve the appearance.
Anaesthesia will be applied under the eyes prior to placement of the filler product. There may be some swelling or bruising after the procedure due to the delicate skin around the eye.
Immediately but will continue to improve over the next few weeks.
Most dermal fillers will last 6-9 months in this region.