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The Tear Trough, Dark Circle, Eye Bags, Hollowness
The tear trough is the groove at the junction between where the lower eyelid and the cheek. As we age, one of the changes which is commonly noticed and commented on is the appearance and gradual worsening of dark circles under the eyelids. This occurs due to the thinning of the overlying skin and soft tissue over the bony orbital rim. A band of tethering fibrous tissue called the orbitomalar ligament binds the skin underneath the lower eyelid to the underlying bony rim of the eye socket.
In youth, due to the surrounding plump fat, thicker overlying skin and soft tissue surrounding this structure, this ligament is usually invisible. However, with age atrophy of the adjacent tissues and thinning of the skin occurs, leading to increased visibility of this deep attachment between the skin and orbital rim-the so called tear trough deformity.
Facial Aging causes many changes to the face and following are some specific problems around the eyes:
Besides Facial Aging, other causes of Dark Circles are
Under eye and Cheek lift with dermal filler to correct tear trough, dark circles, eye bags and hollowness
Volume lost at the junction between the upper cheek and lower eyelid causing worsening tear trough deformity. This is one of the earliest sign of ageing, commonly starts late 20’s but becomes more visible at late 30’s. Therefore, if you have the groove between your lower eyelid and cheek (tear trough), just simple replacement of this lost volume with under eye dermal filler can lead to dramatic improvement. The filler is placed below the skin and soft tissue thereby lifting up these hollow areas, making the tear trough appear shallower. In most patients there is an almost immediate improvement with a reduction in the depth and width of the tear trough itself. Dark circles which are often due to shadowing within the trough itself similarly improve. Please read specific dermal filler for eye areas Teosyal Redensity II Eyes Rejuvenation
Cheek drooping can be due to facial aging or rapid fat lost/ weight lost. Cheek lift using voluminsing dermal filler can effectively give you a smoother transition between your under eye and cheek because your under eyelids will match your cheek height and volume therefore improvement of the under eye bags, puffy appearance and visible veins in the lower eyelid are improved, it will also reduce the dark circle. As a bonus effect from lifting your cheek, not only your eyes will look more awake and bright, you will have more contoured face, nose to mouth lines (nasolabial folds) will improve, all these giving you a more refresh and happy face. Please read Dermal Filler for more information.
For full details and treatment options, please read Eye rejuvenation .