When the orbital septum or the thin sheet of connective tissue in the lower eyelid weakens, and there is a loss of soft tissue volume in the cheek area, the lower bony orbital margin of the eyelid can be accentuated. Sometimes this can be accompanied with the prolapse of lower eyelid fat pockets that make the lower eyelid look puffy.
Surgery to remove under eye bags is also common; however it is not always necessary and depends on the individual. More and more patients want a quicker less invasive procedure. When fat prolapse is excessive, or there is excessive loose skin, often times surgery is the best option. However, when there is hallowing at the junction of the cheek and under eye called tear troughs, injections with hyaluronic acid can be done. This can help with the appearance of dark circles but it will not help individuals with hyperpigmentation of the skin around the eyes.
Tear trough filling is a minimally invasive, non surgical alternative to treat lower eyelid tear troughs. It has reduced risk of complication and quicker recovery time than surgery. I use Juvederm Volbella, a clear hyaluronic acid similar to that found in our own bodies. The treatment consists of a series of small injections along the line of the hallow followed by gentle massage. The results are instant and generally last for one year and sometimes longer.
What can you expect?
- There can be discomfort during the treatment
- There can be some bruising associated with any injection but these normally disappear in about one week
- Occasionally there can be contour irregularities that can generally be massaged to flatten out
- If you are unhappy with the results, it can be dissolved with hyaluronidase
- Generally it takes 20-30 minutes to do
- Some patients may not be suitable for tear trough fillers or may need treatment in conjunction with other treatments.
- It is best to find an experienced doctor to thoroughly discuss the risks and benefits for the procedure.