Hi everyone! Today I'm going to talk about tear trough fillers. I'm really excited to do this
video because it's actually a treatment that we do quite a lot at City Skin Clinic and the result is
something that is quite changing for people, in a very positive way and so it's one of
my favourite treatments to do. So I thought the theme of the video could be the five top questions
I get asked in clinic and through the website about tear trough fillers and I think that'd be a
really helpful thing to have a video on. So, without further ado we'll start with the first
one. So the first question I really get asked is what causes tear troughs? Before
I answer that, tear troughs are what causes lines and dark circles under the
eyes or the appearance of these things. So if you think about it, under the eye area there's that
delicate skin and then there's the cheek over here. The tear trough is usually when the fat pad in
the cheek just descends, which can come as part of getting a little bit older, or sometimes it's more
prevalent in certain and ethnic groups than others, it could be your bone structure,
it could be hereditary. What normally happens is, as the cheek volume goes a little bit
down, there's a little bit of a separation and that creates a little hollow under the eye. So what
people really complain about is because of that hollow, when the light hits you in the face,
you end up looking like you have dark circles or under eye bags and sunken eyes and
what people don't like about it is often it just makes you look tired even when you're not and so
I get a lot of people in the clinic, men and women, who say, look, I'm just tired of people saying I look tired,
I look sad, I look unwell, when actually I feel fine, it's just these areas. So, when we see
patients in clinic, they tend to have been people who have tried everything, whether it's under
eye creams, whether it's having had other kinds of treatments in other clinics or even
a lot of makeup and concealer and really, nothing seems to work for them and so often, they're really
surprised and quite happy to learn that there are treatment options for that area. One of
the things that you may have heard about is tear trough fillers. So, this is the next question, the second
most common question I get asked: what are tear tough fillers? Tear trough fillers are becoming
one of the most popular treatments to treat these under eye circles and these under eye lines
and patches. These are hyaluronic acid dermal fillers and these fillers are dissolvable and how long they
last, depends on the type of tear trough filler. The one that we use at our clinic is
Teosyal Redensity 2, and it's the only under eye filler that's been licensed for use in the
under eye area, so that's why we use it. It's a hyaluronic acid dermal filler, which is a synthetic
product, it's similar to the hyaluronic acid which is the scaffold of the skin and what it does is
it just lifts off that area and it supports the tear trough area so that when
the light catches you, you no longer have that hollow, those dark circles and those patches
and under-eye bags. You don't have the appearance of those anymore because that area is smooth.
Tear trough fillers are injectable, colourless gels in general, so that's what Teosyal
Redensity 2 is and it's a super thin gel. It's different from the type of filler you would do to volumize
the lips or volumize the cheeks, this filler doesn't volumize anything, it kind of supports, but
it's not visible if it's injected correctly and you shouldn't be able to feel it. It just supports
that kind of depression there, that causes these lines. So, of course, the third question is, because
they're temporary, how long do they last? Well, Teosyal Redensity 2 lasts for anything between 8
to 12 months, in some people it can last a bit longer, even. So, it's a temporary filler
and it can also be dissolved if there's any problem or you don't like it, much sooner than that,
with a special enzyme but, the results themselves, if you keep the filler in there, they
will last for something like 8 to 12 months and it depends from person to person, depending on
your metabolism, but in the clinical trials that's how long it lasts for. The fourth
most common question I get asked is how is the treatment performed? So, these are injectable
gels, they're non-surgical treatments. At our clinic, what we do is numb the under eye area and then
one of our doctors uses either a needle or a microcannula or a combination of the two, depending on
what will get the best result, depending on the shape of your face, the characteristics of the
tear trough area. Actually, we've written a really good insider's guide blog post
on tear trough correction and tear trough treatments, so I'll leave a link to
that and the related page at the bottom of this. So the filler is
injected in the tear trough area, sometimes some people with a lot of volume loss, they may
also want to have or benefit from having cheek fillers done at the same time, so you
treat the tear trough but you also compensate for that volume loss in the cheek and so you get
a nice appearance to the mid face, to the cheek area and it also corrects the tear trough.
After the treatment, straightaway, you can go home, it doesn't take very long and it's not painful
because we use numbing cream and the filler has a numbing injection in it, and
that's the treatment. We tend to want to see everyone a few weeks afterwards, about 3 to
4 weeks, once the filler completely settles. I advise people that you can see the result
straight away, about 80% of it, you can notice an improvement and then it takes about
3 to four 4 for everything to settle and you may see even more improvement in that time
and then it peaks at around 3 to 4 weeks. And so we do a follow-up and see the results and
check that you're happy with it and that's what any good doctor should do
for any treatment. The final question that we get asked a lot and if someone doesn't ask it
in the clinic, we always offer the answer to it because it's important, which is: what are other
treatment options to tear troughs fillers? Well, there are various different options. So there is
no treatment that's imperfect so some people love the idea of tear trough fillers but they want something
more permanent. There isn't anything from a filler perspective that we would recommend that's safe as
a permanent treatment, but in some places you can have operations. So, surgeons can do an operation
where they take a bit of fat from one part of your body and then they fill the under-eye area
there. So that treatment, if it's good, it will last forever because it's your own fat. The
problem with taking fat and putting it somewhere else is a lot of it doesn't survive and so you
might end up having to have some more, so that's one thing to bear in mind. It's not something we
offer, but it's something to consider. The other options, if the problem is
just with under-eye circles, it's not the tear trough itself, dark circles, treatments like
chemical peels or lasers can help with that. But really, if it's due to the tear trough area
and it's the loss of volume, then dermal filler is a really good and safe option if it's performed
by someone who is trained, a trained doctor, a qualified an experienced person and then you
get really, really good results. So, that's my top five questions that I get asked about
dermal fillers and tear trough fillers and I thought that would be a really good video to do because
I get asked a lot about it. Please, if there's anything I haven't answered or any
burning questions, just leave a comment below. Don't forget to subscribe and if there's
anything, even not related to tear trough fillers, that you'd like me to do a video about in the
future, or any questions you want to ask, please leave a comment below. Until next time, bye!