Tear Trough

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WHAT IS TEAR TROUGH

• The tear trough is the groove or valley that
  begins at the inner corner of your eyes and
  travels down and out across your cheek.
• Its often blamed for under-eye dark circles and
  an aged appearance.
• Some doctors will even go as far to call it a
  deformity.

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Why the tear trough is not a deformity

• The tear trough is a valley that sits atop the
  rim of bone that encircles the eye.
• This valley is a natural and normal contour that
  is caused by an area of compressed tissue layers.
  
• There is a thinner fatty layer over the tear
  trough than there is in the plumpest part of the
  cheek.
• The cheek can only look round if the surrounding
  areas are less round.

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Tear Troughs Fillers

• Restylane is an ideal filler choice for the tear
  trough for many reasons.
• Its unique consistency creates a natural
  rejuvenation in the tear trough.
• It is also long-lasting, often greater than a
  year.
• And finally, since it is a hyaluronic acid
  filler, it can be broken down with hyaluronidase
  injection, if necessary.
• Belotero is another hyaluronic acid filler that
  can work well in the tear trough.

EXAMPLE OF TEAR TROUGH
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SIDE EFFECTS OF FILLERS

• Unfortunately, not all fillers are well suited
  for the tear trough.
• Juvederm exerts a very hydrophilic plumping
  effect under the eyes, creating a very
  conspicuous puffy look that can persist for
  several months.
• And while many injectors have tried filling the
  tear trough with collagen, Radiesse, Artefill,
  and even silicone, these other filler materials
  have been associated with unwanted side effects
  and poor cosmetic outcomes.

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THE TEAR TROUGH AND DARK CIRCLES UNDER THE EYES

• The tear trough, also known as a nasojugal
  groove, extends from the inner corner of the eye,
  following a semicircular arc and transitioning to
  the palpebromalar groove.
• A deep tear trough can create a shadow that is
  perceived as a dark circle below the eye. It also
  creates a division between the lower eyelid and
  cheek that is an early sign of aging around the
  eyes.
• Patients with deep tear troughs often complain
  that they look more tired and older than they
  really are.

EXAMPLE
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