This poetic expression (it refers to the area where tears flow) designates the groove located between the cheekbone and the side of the nose and which continues from the under-eye hollow. In fact, it is the same groove that, in its orbital part (upper part), forms the under-eye circle, and in its malar part (lower part at the level of the cheekbone), forms the tear trough. Its appearance gives a sad and tired look and causes the gaze to drop. A shadow zone (a hollow always corresponds to a shadow) is created in the midface area, which becomes less luminous. Its appearance is also correlated with the disruption of the cheekbone curve, the emergence of the nasolabial fold and sometimes marionette lines and jowls.
In aesthetic medicine, the treatment of the tear trough is increasingly requested by patients who want to regain a youthful and rested appearance.
Hyaluronic acid injections in the tear trough are an effective and safe solution to fight the signs of aging.
Patients particularly appreciate the immediate results and the fast recovery. Before and after tear trough treatment photos show a significant improvement, contributing to the growing popularity of this procedure in aesthetic medicine.
The appearance of the tear trough is mainly the result of physiological aging processes, particularly related to changes in the malar fat. Over time, the deep malar fat melts and the superficial malar fat sags. This creates a hollow corresponding to the tear trough.
From the age of 25, the secretion of collagen by the body decreases. Yet, this substance plays a key role for the skin and tissues. Sometimes called the “anti-aging protein”, collagen provides support, flexibility and elasticity to skin tissues. The presence of collagen improves skin texture, making it smooth and firm – two visible signs of youth. The reduction in collagen production leads to a decline in skin quality, which becomes less elastic. The facial area tends to sag.
The tear trough, caused by sagging or melting of cheek fat, worsens over time.
The melting of the malar fat progresses through 9 different stages.
Regarding the hollowing, three stages of severity are identified.
In mild stages, the tear trough may appear as a slight shadow under the eyes, often noticeable only in cases of fatigue or lack of sleep.
In moderate stages, the depression becomes more visible, causing deeper hollows and a permanently tired appearance, even at rest.
In severe stages, the tear trough is deeply marked, with significant hollows giving the face an aged and emaciated look.
The tear trough is treated with hyaluronic acid injections.
There are two techniques : filling the hollow and lifting the malar fat.
Sometimes, it is possible to combine it with dark circles and cheekbones, injections, depending on the patient’s needs and wishes.
Nasolabial folds and marionette lines are improved by the lifting technique, but additional injection in those areas (if needed) can be done during the same session.
By filling the tear trough with hyaluronic acid injections, it is possible to reduce the shadow under the eyes and restore the cheekbone’s curvature. The face appears fresher and more rejuvenated.
The medical lift technique, invented by Brazilian plastic surgeon Mauricio de Maio, is one of the variations of the MD Codes .
The injection is performed using a needle. The hyaluronic acid used is very firm, with strong lifting power, and is placed deeply against the bone. The injection points must be adapted to each face, which is why it is essential to consult an experienced practitioner.
The lift technique and the tear trough filling with hyaluronic acid injections can be combined, but Dr. Romano always performs the lift technique before the filling of the hollow. This is essential in order to avoid puffiness and to achieve a beautiful and natural result.
Filling the tear trough hollow with hyaluronic acid is done using a cannula. Injection with a needle is dangerous.
The hyaluronic acid must be placed deeply against the bone and must be very low in hydrophilicity. These two elements are essential to avoid the appearance of permanent oedema, typical of an improperly performed injection.
The results of hyaluronic acid injections in the tear trough are immediate. Improvement is visible from the very first session. Patients observe a significant reduction in hollowness, which gives the face a more rested and rejuvenated appearance. The skin appears smoother and more hydrated, with naturally restored volume.
The midface and lower face are lifted : nasolabial folds, marionette lines, and jowls are improved. It is not simply a matter of filling a hollow, but rather a comprehensive rejuvenation treatment of the face and the gaze.
The procedure has minimal after-effects, 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.
Results last between six and twelve months, depending on individual characteristics and the product used. Periodic touch-ups are recommended to maintain the result.
Filling the tear trough may require several syringes of hyaluronic acid. The cost therefore depends on the number of syringes used. This number varies depending on different criteria : the stage of development of the condition, the characteristics of the face, and its anatomy. During the initial consultation, Dr. Romano determines the most suitable protocol and provides a detailed quotation.
| Type of consultation | Generally practiced rates |
|---|---|
|
Hyaluronic acid for
|
600 CHF per syringe |
Treatment of the valley of tears restores a rested and rejuvenated appearance to the face, reduces dark circles and improves the texture and hydration of the skin in this area.
Yes, the results of hyaluronic acid 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 type of skin, lifestyle and product used. Maintenance sessions are necessary.
To naturally reduce the appearance of the valley of tears, adopt a skincare routine that includes moisturising and using 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 valley of tears carry certain risks. These may include allergic reactions, infections, bruising, swelling or asymmetry. It is essential to consult a qualified professional to avoid these risks and achieve optimum results.
The valley of tears occupies the lower part of the hollow between the cheekbones and the sides of the nose. The dark circles occupy the upper part of this hollow.
Hyaluronic acid injections fill hollows, restoring lost volume and hydrating the skin. Hyaluronic acid is a substance that occurs naturally in the body, making it safe and effective for this use.
The treatment is generally painless, thanks to the use of very fine needles and anaesthetic 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 make-up to the valley of tears, start by applying a moisturising make-up base. Then use a creamy concealer, slightly lighter than your natural skin tone, to fill in the depression. Blend gently with a sponge or brush for a natural finish.
The services described on this website apply to Swiss territory; there are differences between countries.
Contact
Dr Valeria Romano
Pl. du Molard 5, 1204 Geneva, Switzerland
Monday to Friday, 9.30am to 6pm
Dr Valeria Romano - All rights reserved.
