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Treatment for tear trough disformity

Do your tears of joy run sideways instead of directly down your cheeks? Hollowness and indentation in the under eye area known as the tear trough is a condition that can become noticeable as early as your 20s. It gradually worsens with age, causing bags and a look of constant tiredness in spite of hours of beauty sleep.
Although men can suffer from tear trough deformity, it’s an affliction that’s more common among women. Typical treatments include surgical fat transposition and synthetic implants, but if you don’t want to go under the knife, a less aggressive way exists for achieving a volumetric result: Fillers.
Dr. Mitchell Chasin, medical director of Reflections Center for Skin & Body in Livingston, New Jersey recommends using fillers as a treatment to make eyes look younger by adding volume into the depressed area. He offers his suggestions for the best remedies for treatment along with tips for getting the most pleasing results.

What are the best tear trough filler options?
It is best to use fillers made of Hyaluronic acid, an injectable complex carbohydrate that attaches to your collagen and elastin to form cartilage, such as Restylane, Juvéderm or Belotero.

How do they work exactly?
Hyaluronic acid is injected with a very fine needle, on top of the orbital bone. The filler closely resembles the same substance that occurs naturally in the body. By replenishing the level of Hyaluronic acid in the skin, fillers immediately soften lines and wrinkles seen with aging and fill the hollows by plumping up the skin.

How long will the results of treatment last?
If done correctly, the treatment typically last one to two years.

Does it hurt when applying the fillers?
Filler injections under the eye are extremely well tolerated by patients. If desired, a topical anesthetic can be used. You may notice slight swelling, redness or bruising following injections, not unlike any other injection. When this occurs, effects are temporary.
Do you have any tips or warnings for patients considering the procedure?
Avoiding aspirin, ibuprofen, vitamin E and fish oil prior to the treatment to reduce the chance of bruising and swelling. For those who bruise easily, a blunt tipped cannula may be used instead of a needle. It is recommended that you seek care from a physician very experienced in filler injections for this procedure because improper technique may result in lumps of filler visible under the eye.

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Lauren Stewart
By: Lauren Stewart

Lauren Stewart is a freelancer writer from Michigan. She enjoys writing about beauty, health and fitness! She is passionate about learning new ways to take control of her health and wellness and is a makeup and skincare junkie! You can contact her by emailing