Tear Trough Filler: How to Know if It’s Right for You

Tear Trough Filler Am I Suitable | Aesthetics by Stephanie | Livingston | Bathgate

Key Takeaways

Table of Contents

As we age, we lose volume in the tear trough region giving us tired eyes due to dark circles, wrinkles, thinning skin and under-eye hollows. The tear trough region is one of the first places on the face to show signs of aging and this change can start as early as our late twenties and can cause a lot of distress when looking in the mirror. 


About Tear Trough Filler

Tear trough filler is used to treat the appearance of the dark circles and hollows under the eyes. The treatment involves injecting a soft Hyaluronic Acid filler into the tear trough area, which is the groove that runs from the inner corner of the eye to the cheek. The filler helps to restore volume and reduce the appearance of under-eye circles and bags.


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Am I And My Skin Suitable?

There are a variety of factors that determine who is suitable for tear trough filler, including:


1. Your age

In general, people who are in their mid to late 20s and early 30s are the best candidates for tear trough filler. At this age, the skin is still relatively firm and elastic, which makes it easier for the filler to be placed and for the results to last longer.

Conversely, if you are under the age of 25, you may not be suitable for tear trough filler. At this age, the skin is still developing and changes are still occurring, and it is not yet clear what the long-term effects of filler will be. Additionally, if you are over the age of 60, your skin may be too thin and delicate for tear trough filler.


2. Your skin quality

People with good skin quality and a healthy complexion are good candidates for tear trough filler. This means that they have smooth, clear skin that is free of wrinkles, sun damage, and other signs of aging. Good skin quality makes it easier for the filler to be placed and for the results to look natural.

Tear trough filler is not suitable if you have:

  • Puffiness under the eye which is worse on waking
  • Only dark pigmented skin under the eye without a clear tear trough depression
  • Skin that is prone to scarring, swelling, or redness
  • Active skin infections or skin allergies. You may have to wait until your current episode is over
  • A significant amount of loose skin or excess fat under your eyes, tear trough filler may not be the best solution for you. In these cases, a different cosmetic procedure, such as a lower eyelid lift, may be a better option.


3. The severity of under-eye circles or hollows

The severity of the under-eye circles or hollows is another important factor in determining who is suitable for tear trough filler. People with moderate to severe under-eye circles or hollows are the best candidates. If the circles or hollows are mild, the filler may not have much of an effect, or the results may not last as long.


4. Your Health

If you have a history of autoimmune diseases, blood clotting disorders, or other medical conditions that affect the way your body heals, you may not be suitable for tear trough filler. Additionally, if you are taking medications that affect blood clotting, such as blood thinners, you may not be suitable for the procedure.


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Tear trough filler is designed to reduce the appearance of under-eye circles and hollows, not to eliminate them completely. People who understand this and have realistic expectations are more likely to be satisfied with the results of the procedure.

While tear trough filler can be an effective solution for reducing the appearance of dark circles and hollows under the eyes, it may not be suitable for everyone. Factors such as age, health conditions, skin quality, and the condition of the area under your eyes should be considered when determining if tear trough filler is right for you. If you are considering tear trough filler, it is important to consult with a qualified and experienced aesthetic practitioner who can assess your individual needs and help you determine if the procedure is right for you.



Frequently Asked Questions

For fine lines, it’s more about trying to improve the quality of the skin, which is done using skin boosters like Neofound or Beautifeye.

These are injectable treatments placed under the eyes and carried out 3 times with 1-2 weeks between appointments to help tighten the skin by creating more collagen and elastin.

Tear trough filler will generally only deal with the hollowing.

Tear Trough filler is not suitable for patients with puffiness under the eye which is worse on waking. Additionally, if you only have dark pigmented skin under the eye without a clear tear trough depression then you are unlikely to achieve good results and an alternative treatment may be better suited to your needs.

At Aesthetics by Stephanie we use fillers that contains a local anaesthetic to provide a comfortable treatment. We use a cannula (a blunt ended hollow tube) which is inserted through only one injection point per side to safely deliver the product to the correct area with minimal discomfort and trauma.


Combining these treatments allows patients to address various concerns simultaneously, such as reducing wrinkles, improving skin texture, and restoring lost volume in the under-eye area. This customised approach often leads to more harmonious and natural-looking results.

It’s essential to follow certain pre-treatment instructions to minimise potential bruising or swelling. These may include avoiding blood-thinning medications like aspirin and ibuprofen for about a week prior to treatment, as well as refraining from consuming alcohol for 24-48 hours before the procedure. Additionally, applying ice packs immediately before and after the treatment can help reduce any inflammation or discomfort.

You can generally return to your regular daily activities quite quickly. Most people can resume wearing makeup within a day or two of the treatment

As for exercise, it is usually advised to wait 24-48 hours before engaging in any strenuous physical activity to minimise the risk of complications and allow the filler to properly settle.

There are indeed several natural or non-surgical alternatives to tear trough filler that can help improve the appearance of under-eye hollows and dark circles. Some options include getting adequate sleep, staying hydrated, applying cold compresses or chilled tea bags, using skincare products with ingredients like retinol and hyaluronic acid, and applying topical lightening agents for dark circles.

Additionally, in-office treatments such as chemical peels, microdermabrasion, and laser therapy may provide noticeable improvements without the need for injectable fillers.

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