TEAR TROUGH INJECTIONS WITH HYALURONIC ACID

What is the tear trough ?

This poetic expression (it designates the place where tears flow) refers to the line located between the cheekbone and the wing of the nose and which continues the dark circle. In fact, it is the same line which, at the level of its orbital part (upper part), forms the dark circle, and at the level of its malar part (lower part at the level of the cheekbone), forms the tear trough.
Its appearance gives a sad and tired look and makes the gaze fall. A shadowed area (a hollow always corresponds to a shadowed area) is created in the middle third of the face, which becomes less luminous.
Its appearance is associated with the break of the cheekbone curve, the appearance of the nasolabial fold and sometimes marionette lines and jowls.

Contents

Key Points

Hyaluronic acid to fill the tear trough in Geneva 

In aesthetic-oriented medicine, the treatment of the tear trough is increasingly requested by patients who wish to regain a youthful and rested appearance.
Injections of hyaluronic acid into the tear trough are an effective and safe solution to fight against the signs of

aging.
Patients particularly appreciate the immediate results and the quick recovery. Before and after photos of the tear trough treatment show significant improvement, which contributes to the growing popularity of this procedure in Geneva.

photo causes valley of tears

What are the causes of the appearance of the tear trough ?

The appearance of the tear trough results mainly from physiological processes related to age, particularly changes in the malar fat. Over time, the deep malar fat melts and the superficial malar fat descends. This creates a void that corresponds to the tear trough.
From the age of 25, the body’s production of collagen decreases. Yet this substance plays a crucial role for the skin and tissues. Sometimes called the “anti-aging protein”, collagen gives the skin’s tissues support, suppleness and elasticity. The presence of collagen improves skin quality, making it smooth and firm, two visible signs of youth. The decrease in collagen production leads to a deterioration of skin quality, which loses elasticity. The central area of the face tends to sag.

gravity photo from the valley of tears

The severity stages of the tear trough

The tear trough, caused by the sagging of facial fat and/or its melting, gradually worsens.
The melting of the malar fat progresses through nine different stages.
For the hollowing, three stages of severity are identified :

  • Stage 1 : volume loss limited to the medial tear trough.
  • Stage 2 : significant lateral orbital volume loss in addition to the medial orbital part.
  • Stage 3 : circumferential depression along the orbital rim medially and laterally.


At the mild stage, the tear trough may appear as a slight shadow under the eyes, often noticeable only in cases of fatigue or lack of sleep.
At the moderate stage, this depression becomes more visible, causing more pronounced hollows and a permanently tired appearance, even at rest.
At the severe stage, the tear trough is deeply marked, with significant hollows giving the face an aged and emaciated appearance.

How to treat the tear trough without surgery ?

The treatment of the tear trough is performed by injecting hyaluronic acid.
There are two techniques : filling the hollow and the malar fat lift technique.
Sometimes it is possible to combine it with injections of the dark circles and the cheekbones, depending on the needs and wishes of the patient.
The nasolabial folds and the marionette lines are improved by the lift technique, but an additional injection in these areas (if necessary) can be performed during the same session.
By filling the tear trough with a hyaluronic acid injection, it is possible to reduce shadows under the eyes and restore the curve of the cheekbone. The face appears fresher and rejuvenated.

filling of the tear valley by injection of hyaluronic acid

How to remove the tear trough ? The medical lift

The medical lifting technique, invented by the Brazilian plastic surgeon Mauricio de Maio, is one of the variations of the MD Codes.
The injection is performed with a needle, the hyaluronic acid used is very firm, with lifting power, and placed deeply against the bone. The injection points must be adapted to each face, which is why it is important to consult an experienced doctor.
The lifting technique and the filling of the tear trough by hyaluronic acid injection can be combined, but Dr. Romano always performs the lifting technique before filling the hollow. This is essential to avoid swelling the face and to achieve a beautiful and natural result.

photo injection valley of tears

How to fill the tear trough with hyaluronic acid injections ?

The filling of the tear trough hollow with hyaluronic acid is performed using a cannula, as needle injection is dangerous.
The hyaluronic acid must be placed deeply against the bone and must be very little hydrophilic, these two elements being essential to avoid the appearance of permanent edema, which are typical of a failed injection.

Which hyaluronic acid for the tear trough ?

  • If the face becomes thinner and tends to look skeletal : a strongly cross-linked hyaluronic acid is injected into the triangle of the tear trough. The injection is deep, in contact with the bone.
  • If the face appears heavy, relaxed and shows fat ptosis : the objective is to create a lift on the sagging fat, and Dr. Romano then performs a medical lifting by injecting a very dense hyaluronic acid.

Before / after results of hyaluronic acid in the tear trough

The results of hyaluronic acid injections in the tear trough area are immediate, with improvement visible from the first session. Patients notice a significant reduction in the hollows, giving the face a more rested and rejuvenated appearance. The skin appears smoother and more hydrated, with naturally restored volume.
The mid and lower third of the face are lifted : the nasolabial folds, marionette lines and jowls are improved. This is not simply the filling of a hollow but a rejuvenation treatment of the face and the gaze.
The after-effects of the procedure are minimal, with mild and temporary side effects such as redness, swelling or bruising, which generally disappear within a few days. Patients can resume their usual activities immediately after the session.
The results last between six and twelve months, depending on individual characteristics and the product used.
Periodic touch-ups should be scheduled to maintain the result.

Tear trough injection : price

In Geneva, the price of a hyaluronic acid injection to treat the tear trough is 600 CHF per syringe. The filling of the tear trough may require several syringes of hyaluronic acid. The price therefore depends on the number of syringes injected. This number varies according to different criteria : the stage of progression of the condition, the characteristics of the face and its anatomy. During the first consultation, Dr. Romano determines the most suitable protocol and prepares a quote.

Why treat the tear trough ?

The treatment of the tear trough gives the face a more rested and rejuvenated appearance, reduces dark circles and improves the quality and hydration of the skin in this area.

Yes, the results of hyaluronic acid filling injections are immediate. The improvement is visible from the first session.

The treatment is rapid, lasting around five minutes. You can resume your daily activities immediately afterwards.

The results of hyaluronic acid injections can last between six and twelve months. This depends on the skin type, lifestyle and the product used. Maintenance sessions are necessary.

To naturally reduce the tear trough, adopt a skincare routine that includes good hydration and the use of creams containing ingredients such as vitamin C, retinol and hyaluronic acid. Gentle massages can also stimulate circulation and reduce the appearance of hollows.

As with any medical procedure, injections for the tear trough carry certain risks. These may include allergic reactions, infections, bruising, swelling or asymmetries. It is essential to consult an experienced doctor to avoid these risks and achieve an optimal result.

The tear trough occupies the lower part of the hollow located between the cheekbones and the sides of the nose. Dark circles occupy the upper part of this hollow.

Hyaluronic acid injections fill the hollows by restoring lost volume and hydrating the skin. Hyaluronic acid is a substance naturally present in the body, which makes it safe and effective for this use.

The treatment is generally painless thanks to the use of very fine needles and anesthetic products.

Side effects are rare and minor : slight redness, swelling and bruising. They usually disappear within a few days.

The Valley of Tears treatment is suitable for anyone wishing to reduce the hollows that have formed with age and regain a rested appearance. A personalised consultation will determine whether you are a good candidate.

To apply makeup to the tear trough, start by applying a hydrating makeup base. Then use a creamy concealer, slightly lighter than your natural skin tone, to fill the depression. Blend gently with a sponge or brush for a natural finish.

Other areas to be treated