Prevent tear trough filler complications

Q: What should you avoid after a tear trough filler?

For the first 24 hours, do not visit a beautician or masseur. Also, do not rub your eyes or the area under your eyes. After about 12 hours, you can apply makeup again, but be careful when cleansing. Avoid saunas or tanning beds for the first 48 hours. Apply sunscreen to protect your skin.

Q: What can go wrong with a tear trough treatment?

Complications can range from mild to very severe, though severe complications are rare. A mild complication may include swelling or infection, which can occur with any medical procedure and are usually easily treated. An example of a severe complication is a vascular occlusion, which can happen if a doctor accidentally injects into a blood vessel. This can block blood flow to part of the skin, potentially causing permanent damage. This is very rare. It is recommended to have a consultation at a professional clinic with doctors who have extensive experience.

Q: How long does swelling last after a tear trough filler?

After a filler treatment, a bruised feeling, bruise, or swelling is nothing to worry about. Normally, this resolves completely within 2–5 days. With a tear trough filler, swelling can last longer, especially if you naturally retain fluid in your under-eye area. The doctor should carefully assess this before the treatment.

Read about tear trough complications in the article below.

Tear trough filler risks

Tear trough filler complications are less rare than other filler complications. It is important to keep this in mind. This is partly because some people have a genetic tendency to retain fluid in the under-eye area. It is also because it is a very delicate area, requiring the doctor to have extensive experience and knowledge of the anatomy.

Most common tear trough filler complications

The most common complications after a tear trough treatment are:

Excess fluid retention

Fillers are made from hyaluronic acid, which is generally safe and naturally occurs in the skin. Hyaluronic acid attracts water. This is usually beneficial in a filler treatment because you want to create volume. However, the skin under the eyes can be very thin, causing fluid retention to immediately form under-eye puffiness. This is undesirable and is often a reason for a doctor to advise against a tear trough filler.

Tyndall effect

The Tyndall effect is also caused by the thin skin under the eyes. It results in a bluish discoloration of the skin after a filler treatment, as the filler becomes somewhat visible through the skin. It is recommended to inject the filler deeply enough in this area.

Treatment of complications

In both cases, treatment with hyaluronidase to dissolve the filler is a good solution. The filler is broken down by the body, and the full result is visible after about two weeks. If excess fluid persists, it may indicate that something in the body is causing ongoing fluid retention. This can take longer to resolve and is more common in people who naturally retain fluid under the eyes (puffy eyes, for example, after sleeping on the stomach).

Preventing complications

You can never completely prevent complications, but you can reduce the risk by:

Choosing a qualified medical professional (DHA, DOH, or MOHAP licence)
Choosing a practitioner with the necessary experience (several years)
Choosing a practitioner whose main profession is cosmetic treatments (not a side job)
Ensuring that an A-brand filler is used

If you want to know in advance whether your body may react strongly to a filler treatment (about 2% of people), you can consider a DNA test.

Example of tear trough filler complications

If people often retain fluid in their tear troughs (which can be visible upon waking), a tear trough filler is not recommended. The tear trough filler is made from hyaluronic acid, a substance naturally found in the body, but in a highly concentrated form. Hyaluronic acid binds water up to 6 litres per gram. Therefore, if you naturally retain fluid in the tear troughs, a tear trough treatment is not advisable, as it may worsen fluid retention.

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More tear trough filler information

Tear trough filler treatment
Tear trough experiences
Tear trough filler price
Tear trough filler before and after

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Thin skin in the tear trough

Another potential complication with tear trough fillers relates to the treatment technique. The tear trough is an anatomically delicate area with important blood vessels, so it is generally recommended to use a blunt cannula. The filler must also be applied with precision and evenly distributed. Knowledge of anatomy and advanced injection skills are essential. For this reason, always choose an experienced cosmetic doctor, such as a DHA-, DOH-, or MOHAP-licensed doctor in the UAE.

Best tear trough filler brand

Almost all well-known brands have a filler specifically for tear troughs in their product range. Popular brands include Restylane, Juvéderm, and Belotero. Currently, Teosyal Redensity II is considered the best tear trough filler.

Removing a tear trough filler

You may be dissatisfied after a filler treatment, either because the filler was not evenly distributed or due to fluid retention. A doctor can remove the hyaluronic acid filler using hyaluronidase. Use the search bar to find a doctor near you.

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