Hollow under-eyes and dark circles age the face dramatically — making us look tired even when well-rested. Tear trough filler is a technical, specialized treatment that requires expert hands but produces transformative results when done correctly.
Why under-eyes appear dark and hollow
Three causes: structural shadow (volume loss creates a hollow that casts shadow), thin skin (you see the underlying blue veins and muscle), and true pigmentation (melanin deposits). Filler addresses #1 and #2. True pigmentation requires different treatment.
The right product for under-eyes
This area requires a specific filler: low molecular weight hyaluronic acid with minimal water-attraction (to avoid swelling), and integrated cohesivity. Best options: Restylane Eyelight (specifically designed for this area), Belotero Balance, or Teosyal Redensity II.
The supraperiosteal cannula technique
Tear trough filler must be placed deep, on the bone, using a blunt cannula (not needle). This minimizes bruising risk in the highly vascularized periorbital area and avoids nodules visible through thin skin. Only experienced injectors should perform this treatment.
Risks of tear trough filler done wrong
Common complications from inexperienced injectors: Tyndall effect (bluish tinge from filler too superficial), chronic swelling (water-attracting filler in the wrong place), nodules visible through thin skin, vascular events (extremely rare but serious). Choose your physician carefully.
Results and longevity
Results visible after swelling subsides (2–4 weeks). Duration: 12–18 months. The under-eye area is one of the longest-lasting filler zones because of low movement. Most patients return for touch-up annually.
Book your tear trough consultation in Medellín
Office at Edificio Forum, Cl 7 S 42-70, Cons. 1001 · Medellín, Colombia
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