Sleepy Hollow: Tear Trough Rejuvenation


sleepy-hollow-300x200As we age, some of us will develop trough-like hollows under our eyes – making us look tired and haggard. Dr Alastair Clark discusses rejuvenation techniques that eradicate these dark hollows – without going under the knife…

If you could undergo one single aesthetic procedure, what would it be? Do you think it would be Tear Trough Rejuvenation? Because that’s what I often recommend to my patients.

Why, you ask? Well, because illuminating a person’s face by eradicating the dark circles and puffy eyelids not only brightens the eyes, but it takes years from your visible age.

What is Tear Trough Rejuvenation?

Some people develop trough-like hollows where the top of the cheekbone meets the under-eye. These are known as tear troughs. They tend to you give a tired look and can be difficult to mask.

The cause of these tear toughs is a loss of facial volume and tissue elasticity — in the cheek area as well as under the eye. It is also caused by a mild reduction in bone volume and a general descent of skin.

Tear Trough Rejuvenation is the injection of Hyaluronic Acid Dermal Fillers into that margin to eliminate the trough, replace lost volume and remove dark circles.

Over the years, Blepharoplasty surgery (or corrective eyelid surgery) was the only option for this type of treatment. The surgery itself should be performed by qualified plastic surgeons and the results are generally fantastic.

However, being a surgical procedure, it usually involves extensive downtime. With that in mind, it is no wonder that aesthetic doctors throughout the world have been developing techniques to treat tear trough rejuvenation using non-surgical means.

Injection Technique

The introduction of the micro-cannula has changed how the product is delivered into the hollow – and with it changed the safety profile of the procedure. Micro-cannulas are needle thin but blunt tipped.

A sharp needle is used to make the skin puncture before inserting the blunt tipped cannula. The blunt tip does minimal (if any) damage to the tissue and therefore reduces the risk of bruising, bleeding or trauma.

The second benefit of the latest micro-cannula technique is the added length of the cannula when compared to the needle. The length of the micro-cannula allows trained doctors to treat and rejuvenate the tear trough area via a single entry point. This further reduces the risk of injury and bleeding.

A Treatment Session

Using the latest micro-cannula techniques to treat tear trough rejuvenation, trained doctors can have the procedure completed within minutes. After the consultation assessment, your practitioner will make a single entry point on the lateral (outside) of the cheek.

The cannula will then be maneuvered into the treatment hollow at the limit of the micro-cannula (roughly at the nose) and the product will be placed. It is then massaged as the micro-cannula is retracted. That’s it!

Sculpting is planned and mapped based on your individual pattern of volume loss – not only around the eyes by also in the adjacent areas of the cheeks and midface. This means the tear trough is only one part of the picture… the whole midface is actually lifted and regains its volume and youthful contour.


An astonishing before & after tear trough rejuvenation



Midface Advantages

Treating the tear trough will fill out the hollow and remove dark circles. The treatment is extremely popular, especially for people in their 30’s and 40’s where these depressions are the only visible signs of ageing.The improvement to the midface and subsequent lifting in facial volume is a massive bonus for all patients who choose to undergo tear trough treatments.

This general correction will re-establish volume in the cheek area and reduce the visibility of minor lines – as well as improve overall symmetry of the face.

Results after the tear trough rejuvenation procedure are instant and last between six and 12 months before repeat injections are required.

An additional bonus is that not much filler is required and the treatment is therefore a very cost effective treatment for anti-ageing and natural rejuvenation.

Tear trough rejuvenation procedure offers immediate aesthetic results, a reduced risk of complications compared with surgery and a very short recovery period.


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