Tear Trough Fillers
A classic complaint for many is that of dark circles under the eyes. This is phenomenally difficult to correct surgically. One of the most effective techniques is to use filler to plump up the tear trough. The results are immediate and last from 6 to 9 months.
This is an advanced treatment with fillers and there have been variable results. The secret is to use a thick but not too thick filler, and to make absolutely sure that all the filler is injected deep to the orbicularis muscle directly on the bone. This can be slightly unnerving for the patient, as the tip of the needle needs to tap against the bone. The pressure on the plunger also needs to be released for some seconds before the needle is withdrawn to allow the build up of pressure in the barrel of the syringe to ease. If this is not done a trickle of filler comes out anterior to the muscle and can give a small lump. In my opinion less is more and I would recommend using only half a syringe each side initially. You can always top up after two weeks.
The skin is very thin in this area so bruising is more common and more visible, but will wear off over a few days and can always be hidden with foundation.
As ever with the hyalan fillers - if you do not like the result the filler can be reversed with hyaluronidase.