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Tear troughs are semi-circular creases/depressions which start at the nose and run along the bottom of the lower eyelid just above the cheek bone. These depressions can produce the illusion of darkening around the eyes resulting in dark circles or tired eyes. As we age, the eyelid above and cheek below begin to sag however the depression cannot sag with the rest of the facial skin due to its ligamentous attachment to the bone of the eye socket. This results in the depression deepening and the shadow and dark circle becoming more noticeable.
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| Before Tear Trough Filler | Immediately After Treatment |
When tear trough deformities are present, an injectable dermal filler such as Juvéderm Ultra can be used to correct them. Juvéderm Ultra is a non-animal based sterile gel consisting of biodegradable hyaluronic acid. Hyaluronic acid is present in all living tissue and works by attracting water molecules to the surrounding collagen fibres resulting in plumper, hydrated skin.
The filler is injected with a very fine micro needle under the skin surface along the line of the hollow. An anaesthetic cream will be applied to the area for 30 minutes. After the treatment, the area is then gently massaged by the Doctor.
Allergic reaction. The risk of an allergic reaction is extremely rare and they are usually self-limiting. Allergic reactions can however be treated with oral or injectable corticosteroids or the product removed using an injectable enzyme (hyaluronidase).
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| Before Tear Trough Filler | Immediately After Treatment |