Fillers for Lower Eyelid Tear Troughs

The tear trough is the area of eyelid-cheek junction closest to the nose. Many patients have a harsh line in this location which leads to an unflattering, tired appearance to the upper face. Smoothing the tear trough with injectable fillers such as Restylane, Juvederm or Perlane can make a noticeable improvement in a patient's appearance with a minimum of down time.

Patient 1 - Before and after Fillers for Lower Eyelid Tear Troughs

lower eyelid filler tear trough before imagelower eyelid filler tear trough after image

These photos show a woman in her early 50s with significant hollowing in the lower eyelid tear trough area. The hollowing in the lower eyelids casts a shadow leading to the appearance of dark circles under the eyes. Dark circles often make patients look tired. Restylane injections were used to add volume to the lower eyelids to reduce the depression in that area. Note that there is less shadowing once the depression is improved leading to an improvement in the dark circles.

lower eyelid filler tear trough in wellesley mass

The full face photos show that treating the under eye area alone can lead to dramatic improvement in overall appearance. The patient looks less tired and more attractive. The face is more “balanced” when the under eye volume loss is treated.

Patient 2 - Before and after Juvederm injection into tear trough

Before Juvederm

Before: Juvederm injection into tear trough

After Juvederm

After: Juvederm injection into tear trough

These photos show a woman in her 30s who didnt like the harsh lines in her tear trough area. She felt that the lines caused her to appear older than her real age and look as if she didnt get enough sleep. After injection of Juvederm into her tear trough area, the lines essentially disappear.

Patient 3 - Before and after Juvederm injection into lower eyelids, overhead lighting

Before Juvederm

Before: Juvederm injection into lower eyelids, overhead lighting

After Juvederm

After: Juvederm injection into lower eyelids, overhead lighting

These photos show a woman in her early 40s who didnt like the appearance of her lower eyelids. Injection of Juvederm into her lower eyelid helps reduce the lines in this area.

Facial lines and wrinkles are often minimized with flash photography. In order to best represent real world conditions of indoor or outdoor overhead lighting it is important to look at photos taken with an overhead light, without a camera flash. Overhead lighting tends to highlight shadows and dark circles under the eyes. This type of photo may be slightly blurred, but is a better representation of what most people look like in real life. The appearance of the upper eyelid is less susceptible to changes in lighting, so flash photos are usually adequate to judge appearances before and after surgery.

The before and after photos shown here were taken under similar conditions with an overhead light and no camera flash. Note the dramatic improvement after Juvederm injections into the lower eyelids.

These photos show patients who have had treatments in tear trough area of the lower eyelid alone. Many patients can benefit from injections all the way across the lower eyelid. This type of treament is often called non-surgical blepharoplasty. Follow the link in the previous sentence to see before and after photos of this procedure.

Restylane and Juvederm are FDA approved to treat smile lines (wrinkles in the nasolabial fold). Use of these products in other areas of the face is considered an "off-label" use of the medication.