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Tear trough fillers Troubles Fixing Flaws with Finesse!

Tear trough fillers have emerged as a go-to non-surgical cosmetic solution for those yearning to banish tired-looking eyes. In recent times, the popularity of this procedure has skyrocketed, offering a swift and pain-free remedy for tear trough hollows and sagging under-eye skin—a natural consequence of the aging process, where the skin loses its volume and elasticity.

Many tear trough fillers harness the power of hyaluronic acid, a dynamic ingredient that not only plumps the skin but fortifies its natural defenses. This, in turn, shields against the ravages of sun exposure, environmental pollution, smoking, and other contributing factors. Beyond mere plumping, these fillers act as moisture magnets, ensuring skin remains hydrated, supple, and resistant to the harmful elements found in subpar skincare products that threaten the skin’s protective barrier.

Administered with finesse, tear trough treatments unveil a smoother, more youthful appearance, marked by a significant reduction in under-eye bags and prominent lines.

However, as the demand for tear trough treatments surges, the market sees a proliferation of clinics and “medispas” offering this procedure. Unfortunately, not every practitioner possesses the requisite qualifications, advanced technical skills, and knowledge crucial for the effective execution of tear trough treatments. Consequently, a surge in complications from botched procedures has been observed, demanding correction by skilled practitioners.

If you find yourself grappling with the aftermath of poorly executed dermal fillers, fear not—we may hold the solution. Delve into the intricacies of potential complications stemming from faulty tear trough treatments, their underlying causes, and the expert interventions available to rectify these issues.

Stay tuned as we guide you through the nuances of tear trough fillers, ensuring your journey to rejuvenated eyes is a seamless and successful one.

Decoding Why Tear Trough Filler Can Misfire

Tear trough filler in London

Dermal fillers pose a higher risk of complications when administered by inexperienced practitioners lacking a thorough understanding of patient anatomy. Factors such as selecting the wrong filler type or not appropriately assessing suitable patients for the treatment contribute to potential issues.

The tear trough, being a delicate and thin-tissued area, is particularly challenging to treat. Complications become more evident due to the thinness of tissues compared to other facial regions. Optimal tear trough treatment necessitates the expertise of skilled oculoplastic surgeons like Ahmad Aziz or Caroline Wilde. These professionals comprehend the intricate anatomy around the eyes and can effectively handle any post-operative eye-related complications that may arise.

A variety of fillers with distinct properties are available, influencing their cohesiveness or globularity. The Eyes Defined Clinic exclusively employs a specialized filler licensed for the under-eye area. This filler, containing a blend of cross-linked and non-cross-linked hyaluronic acid, possesses ideal viscoelastic properties to address the tear trough, minimizing the risk of lumps. Additionally, it incorporates antioxidants and vitamins to foster skin cell regeneration and enhance skin texture. In contrast, other clinics may use fillers unsuitable for the under-eye area, leading to noticeable swellings or an unnatural appearance.

In our experience, some clinics advise patients to layer additional filler on top of existing, yet-to-dissolve filler. Over time, this approach can veer patients away from their initial treatment goals, resulting in an overfilled appearance and a higher likelihood of swelling and lumps. The Eyes Defined Clinic prioritizes maintaining a natural look and discourages excessive filler usage.

While tear trough fillers aren’t universally suitable, The Eyes Defined Clinic conducts thorough consultations and examinations before recommending any treatment. In specific cases, like prominent eye bags, malar edema, or festoons, fillers may exacerbate issues, creating the illusion of a swollen under-eye.

In rare instances, filler injection into a blood vessel can lead to tissue necrosis or blindness. To prevent such complications, an in-depth understanding of complex eye anatomy and specialized injection techniques is crucial. It’s imperative to ensure your practitioner can adeptly handle these rare complications if they arise.

Strategies on How to Correct Botched Fillers

Dermal fillers don’t last forever—they gradually dissolve over time. While one option is to patiently wait for them to dissipate naturally, many people opt for corrective action due to the surprising longevity of fillers beyond previous expectations.

Recent findings suggest that filler effects can persist for ten to fifteen years in some cases. Although the initial volumizing effects may diminish, residual fillers can lead to swelling. Fillers, being hydrophilic, absorb water like a sponge. This tendency is more noticeable in older generations of fillers, which appear to absorb increasing amounts of water. To assess the location and volume of retained filler in the face for future planning and effective dissolving, we often recommend a 3D MRI scan. While ultrasound can be performed to identify filler-related swelling, it is not as effective in providing a comprehensive overview.

Hyaluronic acid fillers can be dissolved using an enzyme called hyaluronidase/hyalase. While effective in removing the filler, concerns arise regarding potential negative effects on natural tissues.

The filler dissolving process resembles getting filler in some ways. The skin is cleansed, and the troublesome area is infiltrated with hyalase diluted in saline. Temporary swelling may occur, but it usually subsides within a day. Initially, the skin may seem deflated, but it typically improves in the first few weeks as the skin recovers and plumps again. Patients are typically reviewed about two weeks later to assess the response and plan further treatments. Larger volumes of filler may require multiple dissolving sessions. After dissolution, the eyes can be properly examined, revealing the true contours of the lower eyelid. Some patients may find relief in the resolved swelling, choosing not to pursue further treatment, while others may opt for a small amount of filler in the correct location or consider surgery.

The Potential Issues after Tear Trough Filler

Overfilled tear trough area / lumps after tear trough filler

Overfilling the tear trough area, often caused by excessive filler use, can lead to puffiness and noticeable lumps, especially when smiling or viewed from above. The tear trough is naturally subtle, and the goal of treatment should be improvement without complete elimination.

To address overfilling, our solution involves dissolving the excess filler. Once this is resolved, we can carefully apply the appropriate amount of filler, ensuring a subtle enhancement in appearance and achieving the desired result of a younger and fresher look.

Discolouration under the eyes after filler

Discoloration, often termed the “Tyndall effect,” may occur when filler is injected superficially under the skin, leading to a noticeable green or blue tint, particularly in daylight. Some patients liken this to tear trough bruising. Properly administered tear trough under-eye filler should penetrate deeply into the skin, not just at the surface.

To address this issue, we propose dissolving the tear trough filler using the hyaluronidase enzyme. Subsequently, we schedule a follow-up appointment with the patient after several weeks to accurately reapply the filler in the correct area, ensuring a natural and desirable outcome.

Swelling Under Your Eyes Post-Filler

Following tear trough under-eye filler, some individuals may encounter swelling under the eyes or in the mid-cheek area. This occurs when the filler is incorrectly placed above the orbicularis retaining ligament or inserted too superficially under the skin. If fillers attract water, it can lead to under-eye swelling when placed too close to the surface.

The choice of filler product is crucial, considering different types with varying water-attracting capacities and potential for swelling. A highly skilled practitioner can discern the most appropriate type.

In cases of under-eye swelling, our solution is to dissolve the filler. After complete dissolution, we schedule a follow-up consultation to assess the patient’s candidacy for under-eye dermal fillers.

However, not all patients are suitable for treatment. A common issue we encounter is poorly executed filler due to its application in individuals who don’t require it or may benefit more from alternative cosmetic eye treatments, such as blepharoplasty surgery.

Who Should Avoid Tear Trough Filler?

Considerations for Eye Fillers on Darker Skin


If your main worry revolves around dark circles under your eyes, tear trough filler might not be the most suitable treatment for you. Addressing under-eye dark circles, a complex issue, goes beyond the capabilities of tear trough fillers. These fillers won’t effectively address skin pigmentation problems and may even accentuate dark circles, especially if they result from a darker pigment in your skin.

Consider alternative treatments such as chemical facial peels and laser skin treatments. However, it’s essential that these procedures are exclusively performed by trained professionals to ensure safety and effectiveness.

Exploring Considerations for Tear Trough Fillers in Festooned Faces


Festoons or malar bags are swollen, puffy bags that manifest under the eyes, typically attributed to midface aging.

A prevalent issue observed in our clinic is the aggravation of malar bags following prior tear trough filler treatments. Since fillers often induce swelling, it’s advisable for any patient with malar bags or festoons to steer clear of filler treatments, as they can potentially worsen the condition.

Tear Trough Fillers with Excess Skin or heavy under-eye bags


Individuals with pronounced under-eye bags or sagging skin may find a more fitting solution in eye bag removal surgery, commonly known as blepharoplasty. This surgical procedure involves the removal of surplus skin and muscle from the upper or lower eyelid area, along with the repositioning or reduction of underlying fat, ultimately resulting in a more youthful appearance. Our surgeons are highly proficient specialists in performing blepharoplasty

Tips on Finding a Reputable Clinic for Your Needs

Hyaluronic acid fillers offer a safe choice for tear trough treatments, presenting a non-invasive approach. However, it’s crucial to note that while safe, administering tear trough fillers requires

expertise due to the delicate nature of the under-eye skin. Only highly qualified practitioners should undertake such procedures to avoid potential complications.

Choosing the Right Clinic and Practitioner


Many dermal filler mishaps occur when handled by under-qualified practitioners, emphasizing the need to discern reputable clinics and skilled practitioners. In the UK, there’s no legal requirement for non-surgical cosmetic treatment practitioners to hold specific qualifications. However, for tear trough fillers, considered a medical treatment, it is imperative that medical professionals with proper training administer them.

Qualified practitioners readily share their credentials, and reluctance to do so may indicate insufficient training. In the UK, medical professionals should be registered with bodies like the General Medical Council. Our leading oculoplastic surgeons are highly qualified to administer dermal fillers and correct issues from underqualified practitioners.

Pre-procedure Consultation


A pre-procedure consultation is a crucial step before tear trough filler treatment. Qualified practitioners ensure your suitability for the treatment, transparently managing expectations. This phase allows you to ask questions and the practitioner to address concerns. In cases where a client isn’t suitable for tear trough fillers, our clinic provides alternative solutions.

 Lack of expertise may hinder less qualified practitioners from doing the same. Our clinic conducts in-depth consultations, including an eye and orbital examination, ensuring fillers are the right option. Risks and achievable outcomes are transparently discussed, emphasizing the safety and consideration in our dermal filler treatments and corrections.

Comfort, Cleanliness, and Aftercare


A practitioner’s expertise and clinic environment should instill comfort and reassurance. Qualified practitioners prioritize patient well-being, never pressuring them into uncertain decisions. Clinic cleanliness is paramount, ensuring a safe and hygienic environment. Aftercare is a crucial aspect, with practitioners providing support post-treatment.

Our clinic surpasses the highest cleanliness standards, prioritizing patient safety. In the event of complications, our clinic offers thorough aftercare, ensuring a positive patient-practitioner relationship. Patients are encouraged to reach out if any issues arise after procedures, guaranteeing prompt resolution and ongoing support.

Choose Expertise for Tear Trough Fillers


Navigating the realm of tear trough fillers demands expertise and a commitment to patient well-being. Opting for qualified practitioners and reputable clinics ensures a safe, informed, and positive experience, addressing any concerns and providing comprehensive aftercare support.

What to Expect from a Flawlessly Executed Tear Trough Filler

When administered by a skilled practitioner, tear trough fillers should yield subtle yet noticeable improvements in the appearance of tired eyes. Our past patient tear trough filler before and after pictures provide a realistic portrayal of successful tear trough treatment, showcasing the transformative yet natural results achieved.

Meet Ahmad Aziz: Your Expert in Tear Trough Complications


Ahmad Aziz, a distinguished oculoplastic surgeon, stands at the forefront of tear trough treatments. His extensive experience includes adeptly addressing complications from previous tear trough filler procedures. If you’ve encountered issues with a tear trough treatment, our online form is available for consultation bookings. Alternatively, reach us directly at 02079657484.

Choose expertise and experience for tear trough fillers—unlock the potential for subtle yet impactful transformations under the skilled hands of Ahmad Aziz.





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