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Tear trough filler in London

Tear trough filler in London

The treatment of lower lid ageing

What are tear trough fillers?

Tear trough filler is a popular cosmetic treatment that can help restore a more youthful look to tired-looking eyes. It works by replacing the volume that is lost around the lower eyelid due to the ageing process.

This type of filler can also be used on other areas of the face, such as the lips, cheeks, nasolabial folds, and marionette lines around the mouth, cheeks, and brows. When combined with botulinum toxin injections, this type of treatment can give a more refreshed and rejuvenated look.

Should I have tear trough filler treatment?

For those with hollowing in the under-eye area or eye bags, filler injections can be a great option to reduce the look of dark circles and restore volume that is naturally lost with age. This helps avoid the need for plastic surgery in many cases. In more severe cases, a surgical procedure such as blepharoplasty may be more appropriate. 

Filler injections can also help to restore the color in the nasojugal groove, which is a line across the cheek that may be visible in some people.

What is the best age for under-eye fillers?

The popularity of pelvic tear filler treatment is increasing among young people and the ideal candidate is not based on age but more on the deformation of the tear pelvis that requires treatment to create a more youthful appearance.

What is the tear trough and how does it change with age?

This is the junction between the lower lid and the upper cheek and includes the nasal groove which is a diagonal line that separates these two areas and becomes more pronounced with age and the loss of volume that occurs.

How do I prepare for the treatment?

During your initial consultation with Mr Ahmad Aziz at his London clinic, you will discuss your medical history, have an assessment of your eyes and facial area, and explore your expectations of the treatment. 

He will also provide advice on what can be achieved with tear trough injections, as well as any potential risks and benefits. If it is determined that fillers are suitable for your case, the treatment can begin. To minimise the risk of mild bruising, it is recommended to avoid alcohol for 24 hours before the appointment, as well as aspirin, ibuprofen, and vitamin E for 1 week prior to the appointment.

How is the treatment carried out?

Non-surgical eye filler treatments can help restore volume to areas of the face that have been lost due to age. Numbing cream can be applied to make the injection more comfortable, and hyaluronic acid filler is injected into the tear trough area of the face. This filler can be dissolved if needed, and it is often used in combination with a local anaesthetic. A sharp but very fine needle is used to inject the filler and avoid any bruising of the blood vessels in the area.

The filler helps to replace lost volume, boost collagen production, and hydrate the skin for a softer appearance. The procedure usually takes about half an hour and can be combined with treatments for other areas of the face such as the cheeks. In some cases, eye filler alone may be sufficient, but in other cases dermal filler to the cheek area may also be needed. Additionally, the product can be used in combination with botulinum toxin.

When will the results be visible?

The results of a dermal filler treatment tend to be instant, with the goal of achieving a natural-looking result. However, it may take up to two weeks for the final results to take full effect, as the product merges with surrounding tissue and the skin smoothes over the area. This process helps to create the desired result.

Do the results look natural?

The goal of eye filler treatments is always to achieve a natural-looking result. The treatment is not intended to create a dramatic transformation, but rather to give an improved look and soften the area with a subtle, natural-looking effect. However, those with very deep tear troughs may not be suitable for this treatment.

Is it painful to have tear trough fillers?

While dermal filler injections can be uncomfortable, the use of numbing cream can significantly reduce any discomfort. Many people find the procedure to be much more comfortable than they anticipated.

What happens during the recovery period?

After receiving an injection, most people experience a quick recovery and often see instant results. You should be able to resume your regular activities immediately following the treatment, and many people go back to work on the same day. There may be some swelling and bruising present, but it typically subsides after a few days. 

To reduce any swelling, it is recommended that you apply cold compresses to the injected area regularly, and use Arnica cream at bedtime to help reduce swelling overnight. Additionally, it’s important to avoid touching or applying makeup to the area on the day of the treatment, and to wash it gently with soapy water. To ensure the best results, you should also avoid alcohol and vigorous exercise for two days after the injections, and avoid saunas and sunbeds for two weeks to prevent exposing the area to extreme heat.


How long do fillers under the eye last?

The effects of the products used tend to be long-lasting, but not permanent; they will slowly break down over time. Results vary from person to person, but most people may require reset treatments every two years, while some may experience results that last for many years. Poor diet and smoking can have a negative impact on how long the treatment lasts, as they can cause the product to break down more quickly.

Can the upper eyelid be treated?

Filler can be used in the upper eyelid to address hollowing and a deep upper eyelid sulcus, but it is not recommended to see a general cosmetic surgeon for this procedure. 

Filler application in this area is a specialized procedure and requires an oculoplastic or facial plastic surgeon, such as Mr Ahmad Aziz, who is familiar with this area. They are more knowledgeable about the anatomy of the orbicularis oculi muscle and the orbital rim, and how to best place the product.

What type of filler is used?

Various brands of hyaluronic acid fillers can be used for different treatments and facial anatomy, depending on the desired results. Juvederm Ultra is popular for deeper treatments, while more superficial applications may require different brands. If a person has had an adverse reaction to a certain type of filler in the past, then that brand will not be used, and an alternative brand with a proven safety record and the ability to be dissolved will be chosen.

Are tear trough filler safe?

To ensure safety, this procedure should only be carried out by someone highly skilled and experienced in this area, in a clean and safe environment. The products used are dissolvable, and any complications can be quickly remedied by dissolution. It is essential that the procedure be handled by a specialist.

Are there any risks or complications?

Any treatment carries a risk of potential complications, such as bruising and swelling, which usually resolve over time. A small percentage of people may not be able to tolerate fillers and may experience irregularities and swelling that require further treatment. 

Occasionally, a discoloration known as the Tyndall effect may appear in the area, but products are available that can help reduce this risk. Prior to any treatment, the risks and potential complications will be discussed. These treatments are not recommended for pregnant women or those who have had severe reactions in the past.

Can any other procedures be done at the same time?

In addition to eye fillers, other areas of the face can be treated with botulinum toxin (Botox) injections, depending on where wrinkles and lines appear. Other treatments may be discussed during the consultation, to determine if they are suitable. These may include placement of product around the eye, temple, cheek and brow, to create a softer and more youthful look to the upper face.

What are the treatment options for complications?

Mr Ahmad Aziz specializes in treating patients who have experienced complications from fillers. These complications can occur when the wrong type of product is used or when it is injected in the wrong area, or when too much product is applied, resulting in an unnatural look and making any eye bags or circles worse.

Some complications are more likely to cause long-term swelling and granulomas, which can give the skin a lumpy feel and cause discomfort. The side effects of dissolving injections applied to the wrong area can damage the skin structure by dissolving its natural hyaluronic acid. Treatment options include hyaluronidase, antibiotics, steroids, and in rare cases, surgery.


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