As we age, the skin under the eye thins, the tissue supporting the lower eyelid weakens and soft tissue in the cheek area is lost. All of this combines to accentuate the appearance of the groove between the lower eyelid and the cheek (tear trough). This produces an effect of dark hollows beneath the eye – the tear troughs.
There are two main treatment options and it might be necessary to combine them both to get the best results. The non-surgical option is that the tissue under the eye is plumped up with dermal fillers and the surgical option is a lower eye blepharoplasty.
Tear trough: Am I suitable?
It is worth seeing a qualified and experienced cosmetic surgeon, who offers both blepharoplasty and dermal fillers, as they will be best placed to advise you on the ideal treatment for you.
Tear tough: What do I have to do to prepare?
If you’re embarking on tear trough surgery, then your surgeon will give you instructions to help you prepare for surgery and these may include guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. For the non-surgical option, there is no preparation necessary.
Tear trough: What’s the treatment like?
Non-surgical; hyaluronic acid dermal fillers have been used in the face for sometime but rejuvenating the lower eyelid is a relatively new procedure. The dermal filler is injected under the eye in a series of tiny injections. Injections in this delicate area might cause some discomfort and a topical local anaesthetic is applied prior to your treatment.
The effects last approximately six to twelve months.
Click on dermal fillers for more information relating to the treatment and its side effects, which are obviously much less than with surgery.
Surgical; click on eyelid surgery for more information.
Tear trough: What will it cost me?
Non-surgical tear trough rejuvenation costs approximately £250 to £500. A lower blephoraplasty costs approximately £2,000 to £3,000.

























