What is the Tear Trough?

The tear trough is the hollow or groove beneath the lower eyelid, where tears naturally collect. This area often becomes more pronounced as we age, resulting from thinning skin, loss of facial volume, and the natural descent of the cheeks over time. The deepening tear trough can cast shadows, contributing to dark circles and a sunken, tired look. In truth, the tear trough is an anatomical area where muscle and ligament attach to the bone of the orbital rim. Over time, this area becomes more visible as cheek volume diminishes, contributing to that hollowed look. Augmenting the tear trough with hyaluronic acid filler can dramatically reduce these shadows, restoring a smoother, more youthful contour to the lower eyelid and cheek.

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Tear Trough Injections with a Blunt Cannula

At W Cosmetic Surgery™, tear trough treatment in Philadelphia & Plymouth Meeting is performed using a precise technique that involves a blunt cannula for safer, more comfortable injections. This 30-minute, minimally invasive procedure is done with local anesthesia right in our office. Although the delicate tissue around the eyes is prone to bruising, most patients find that any discoloration can be concealed with makeup 24 hours post-treatment. The results are immediate, and you can leave our office looking and feeling more refreshed.

Diluted Filler to Address Dark Circles

For patients dealing with dark under-eye circles along with a hollow look, we often use a specialized technique involving a diluted filler mixed with PRP (Platelet-Rich Plasma). This treatment helps to thicken the skin and reduce the appearance of dark circles. While bruising is possible with this method, the rejuvenation results can be remarkable, assisting patients to achieve a brighter, more youthful, under-eye appearance.

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Tear Trough Treatment Before & After

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Why Choose Dr. Allan Wulc for Tear Trough Treatment?

At W Cosmetic Surgery™, Dr. Allan Wulc and his team have extensive experience treating the delicate area around the eyes. As a board-certified oculoplastic and facial plastic surgeon, Dr. Wulc’s expertise ensures that each procedure is customized to your unique facial anatomy. His advanced injection techniques create natural, balanced results that enhance your appearance without an overdone look. You can trust that your tear trough treatment in the Philadelphia & Plymouth Meeting area will be performed with the utmost precision and care.

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Tear Trough Treatment FAQ

What are tear troughs?

Tear troughs are the hollow areas between the lower eyelid and the cheek that can create a shadow, making the eyes look tired or aged. This area may deepen due to aging, genetics, or volume loss.

What causes under-eye hollows?

Tear trough hollows are typically caused by absorption of bone at the rim of the bone that supports the eye, volume loss, thinning skin, and changes in the fat pads beneath the eyes as we age. Genetics can also play a role, with some people developing tear troughs earlier in life.

What is a tear trough treatment?

Tear trough treatment is a non-surgical procedure that uses dermal fillers, typically made of hyaluronic acid, to restore volume under the eyes, reduce hollowness, and smooth the appearance of dark circles.

Who is a good candidate for tear-trough fillers?

Good candidates for tear trough treatment are individuals who experience under-eye hollows, dark circles, or shadows caused by volume loss. Those with very loose skin or severe puffiness may be better suited for other treatments.

How long do the fillers last?

A successful tear-trough outcome can last for years. Sometimes, a touch-up may be required nine months to two years after the treatment.

What is the recovery time after tear trough treatment?

Most patients experience mild swelling or bruising that resolves within a few days. You can return to normal activities immediately after treatment, but we recommend avoiding strenuous activity for 24-48 hours.

Will the treatment look natural?

Yes, when performed by an experienced provider, tear trough treatment with fillers can provide subtle, natural-looking results that refresh your appearance without looking overdone.

Are there any risks or side effects?

As with any injectable treatment, side effects may include mild swelling, bruising, or tenderness at the injection site. Serious complications are rare but can include infection or filler migration, which is why it’s essential to choose a qualified provider.

How long does the procedure take?

A tear-trough filler treatment typically takes around 30 minutes. The 30 minutes includes a consultation, the numbing process, and the injections.

Can I combine tear trough treatment with other procedures?

Yes, tear trough treatment can be combined with other non-surgical treatments, such as BOTOX® or laser treatments, to add further aesthetic benefit.

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