The area under the eyes presents a common cosmetic concern. Hollowing, shadowing and dark circles are often requests that can lead to patients feeling like they look older or more tired than they actually are. Aesthetic practitioners often try and address these concerns with filler treatment, however it can be a difficult area to treat successfully. In this article, I highlight the things to consider when treating this area, and how to achieve the best results for your patients.
The tear trough is the area underneath the lower eyelid and above the cheek (Figure 1). The term ‘tear trough deformity’ was first described by Flowers in 1993 to illustrate the concave hollow that can occur in the area.1 He explained how a shed tear follows the course of the nasojugal groove, which led to the term ‘tear trough’.1,2 Hyaluronic acid (HA) based dermal fillers are commonly used to try and fill this…
