“I always look tired and have these dark circles under my eyes”

Patients often present at the clinic complaining that they always look tired and have dark circles under their eyes and that their face appears to have aged as a result. This is due to the development of a tear trough deformity. As we age we lose volume below the eye. This is mainly because the fat pad underneath degenerates and becomes smaller, and the skin thins and sinks back forming hollows.

In most case the best way to improve tear troughs is to inject dermal filler via a cannula into the tear trough. This is a very delicate area and it is important to use the correct product to replace volume. A hyaluronic acid filler of the appropriate type is the treatment of choice. Hyaluronic acid is a substance which occurs naturally in the body but in the case of fillers it is in gel form rather than liquid. The hyaluronic acid filler which is used must be flexible enough to give a smooth appearance and avoid lumps. The whole procedure takes about 30 minutes and is not painful (the filler contains local anaesthetic). Improvement can be seen immediately but sometimes with slight swelling and redness so the final appearance is best assessed after two weeks.

The correct hyaluronic acid filler will give results which last between 6 and 12 months.

These products are gradually broken down and absorbed by the body until they have disappeared. Importantly they can also be broken down rapidly by injecting an enzyme into the area of filler (hyaluronidase) in cases where complications have occurred.

This is an advanced dermal filler treatment and is not suitable for everyone. Before treatment you will need a consultation to establish that is appropriate, explain the treatment and ensure that there are no additional risk factors or complications.