Non-surgically, tear troughs can be treated with dermal fillers injection in the mid-cheek to support the lower eyelid. Patients generally require 0.5ml to 1ml of tear trough filler to get a fresh-faced look.
If the tear trough is deep, the direction of the needle is changed throughout the injection so that the filler is applied in a cross-hatched fashion. The volume range is 0.1 to 0.45 mL per eyelid, with most patients requiring 0.2 to 0.3 mL.
1ml of filler gives a very subtle soft enhancement, 2mls gives a more volumized look for some and a ducky look for others depending on type of filler injected.
Treating with 1ml at a time is certainly appropriate for some areas, such as volumising lips or having smaller tweakments into other areas of the face. Sometimes, however, more than 1ml may be required – in the cheeks, for example – as 1ml may not make a discernible difference.
The vast majority of first-timers will need 1ml and there are very few exceptions to this.
Most syringes contain 1ml of filler, or about 1/5 of a teaspoon. Occasionally you'll see “half syringes” advertised, at just 0.5ml, it's very hard to create a noticeable impact with that small amount of filler. Most of the hyaluronic-acid based fillers that are FDA-Approved in the U.S. contain 1ml of product.
Typically, only one or two syringes are needed, depending on the patient. Based on the brand of filler and injector's skill level, you can expect to pay up to $800 per syringe. If you are new to fillers, you may need more syringes than others to get your desired result.
How long does tear trough treatment last? The results can last from 6 months up to around 18. This area of the face does not experience much movement and for that reason the filler will 'hold' for long periods of time. The severity of the issue you have under the eye may affect this.
1ml is a relatively small volume of filler, and it will typically produce results that last for six months.
“Each syringe contains 1ml, which is the equivalent of one-fifth of a teaspoon's worth of volume,” says Zeichner. And while “in some cases it takes more than one syringe to achieve optimal results,” he notes, most patients require only a single syringe to fill the hollows beneath both eyes.
You may not be an ideal candidate for tear trough filler if you have: Very thin skin. Dark circles caused by lifestyle habits or genetics. Medical conditions that add a risk of complications.
Restylane. Many cosmetic experts are of the opinion that Restylane is the only injectable facial filler that can be used safely and successfully in the tear trough area. The outcomes with Restylane are more natural, more consistent and more predictable compared to other fillers.
For those who have more minimal dark circles under the eyes, one syringe of filler used for the undereye area may be sufficient. For those who have more severe hollowing in the tear trough area, a full syringe may be necessary for each under eye area.
How long do Tear Trough Fillers last? Dermal filler injections last between 12-18 months, depending on the amount administered and the product used. After this time, a top-up treatment is required to maintain results.
Tear trough filler is a non-permanent solution that typically lasts between one year and two years in most patients. The effects of this treatment are visible immediately following treatment, but final results become visible 4 weeks after treatment.
Under eye fillers can often look lumpy after the procedure. The lumpy appearance usually continues to improve over the 2-3 weeks after the procedure.
Tear trough filler treatment is long lasting and can last up to 18 months, for some even longer. While results are generally long lasting, it is not a permanent resolution, fillers do break down gradually over time. Lifestyle factors and person's metabolism can contribute to the fillers breaking down faster.
While results are typically long-lasting, the treatment is not a permanent solution since the filler will gradually break down over time. Patients are advised to come back to the clinic for repeat fillers to retain their youthful, fresh appearance.
This is also known as the “Tyndall effect” and can result in a green/blue discolouration that may become more noticeable in daylight. Some patients describe this as tear trough bruising. Correctly applied tear trough under eye filler should be injected deeply into the skin rather than just at the surface.
Yes – but not as well, and not for as long. Other fillers are much more likely to migrate with time towards the inner part of the tear trough leading to the appearance of a lump.
Once that syringe of filler is open and exposed to air, it is no longer sterile and it could lead to infections and devastating side effects.
In reality many of my patients looking for improvement of a specific area only need about 1-2ml on average. Most people are surprised at the difference just one syringe of filler can make to a problem area.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.