Tear Trough Rejuvenation

Tear troughs are the name given to the dark circles under the eyes which run from the nose side of each eye in an arc under the lower eyelid. Most patients say they look ‘tired’ when they have tear troughs.

Troughs are caused by loss of volume in the tissue under the eye and above the cheek. The trough is a deep valley in the skin. Light normally comes from above us – room lights or the Sun – and so the floor of this valley is thrown into shadow, making it appear darker and more prominent. It can be difficult to disguise tear troughs with make up for this reason.

The treatment involves using hyaluronic fillers (see the Dermal Fillers section for more information) but with a very different technique.

The aim of the treatment is to raise the ’floor’ of the ‘valley’ back up to the level of the surrounding skin. This brings it out of shadow and corrects the trough. The result is a more youthful appearance around the eyes and a fresher, less tired look.

The treatment involves a local anaesthetic cream being applied below both eyes for 30 minutes to numb the skin. Then a fine filler is carefully injected deep under the ‘valley floor’ so as to reduce the depth of the trough.

The result is a younger looking, fresher eye area – most patients say their friends say they look less tired and more youthful.

The tissue under the eye is delicate and may bruise after the procedure. There is usually some redness under the eye and may be some swelling for a few days.

Tear trough rejuvenation is an advanced technique and should only be performed by a cosmetic doctor who has been specifically trained in this procedure. Dr Berrisford has been trained in tear trough rejuvenation by a senior eye surgeon and performs these procedures regularly.

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