What is Tear Trough?

Tear Trough from £350

The tear trough is the groove that lies at the junction between where the lower eyelid where it meets the cheek. As we get older many of us will start to notice dark circles appearing under our eyes. This occurs due to the thinning of the overlying skin and soft tissue over the bony rim of the eye socket. In youth, due to the surrounding fat that is abundance, the thicker overlying skin and soft tissue surrounding this structure, this ligament is usually invisible. However, with age “sinking” 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 so called “tear trough deformity”. An increasingly popular treatment to resolve this is the use of dermal fillers, especially in patients in their late 30s to 40s, to essentially fill out the trough. Commonly in this age group, the loss of volume at the junction between the upper cheek and lower eyelid is the only obvious sign of ageing. Therefore simple replacement of this lost volume without the need for surgery can lead to dramatic improvements. This treatment can also be combined with PDO Thread and PRP Therapy to further enhance results.

The aim of the treatment is to place the filler deep below the skin and soft tissue around the orbital malar ligament; thereby lifting up these tissues and 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. Dark circles which are often due to shadowing within the trough similarly improve. In some patients there may remain some residual dark circles due to actual skin pigmentation that has built up over many years.