TEAR VALLEY INJECTIONS WITH HYALUONIC ACID

What is the valley of tears?

Cette expression poétique (elle désigne l’endroit où coulent les larmes) fait référence au trait qui se trouve entre la pommette et l’aile du nez et qui continue le cerne. En fait il s’agit du même trait qui au niveau de sa partie orbitaire (partie haute) forme le cerne et au niveau de sa partie malaire (partie basse au niveau de la pommette) forme la vallée des larmes.
Son apparition donne un air triste et fatigué et fait tomber le regard. Une zone d’ombre (un creux correspond toujours à une zone d’ombre) vient se créer au niveau du tiers moyen du visage qui devient moins lumineux.
Son apparition a pour corollaire la cassure de la courbe de la pommette, l’apparition du sillon nasogénien et parfois des plis d’amertume et des bajoues.

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Highlights

Hyaluronic acid to fill the valley of tears in Geneva 

En médecine esthétique, le traitement de la vallée des larmes est de plus en plus demandé par les patientes qui veulent retrouver un aspect jeune et reposé.
Les injections d’acide hyaluronique dans la vallée des larmes sont une solution efficace et sans risques pour lutter contre les signes du vieillissement.

Les patients apprécient particulièrement les résultats immédiats et la récupération rapide. Les photos de la vallée des larmes avant et après traitement montrent une amélioration significative, ce qui contribue à la popularité croissante de cette procédure en médecine esthétique.

photo causes valley of tears

What causes the appearance of the valley of tears?

The appearance of the valley of tears is mainly the result of age-related physiological processes, in particular changes in the malar fat. Over time, deep malar fat melts and superficial malar fat falls away. This creates a void that corresponds to the valley of tears.

From the age of 25, the body's secretion of collagen decreases. Yet this substance plays a vital role in skin and tissue. Sometimes referred to as the 'anti-ageing protein', collagen gives skin tissue support, suppleness and elasticity. The presence of collagen improves skin texture, making it smooth and firm, two visible signs of youth. Reduced collagen production leads to a deterioration in skin quality, with a loss of elasticity. The facial area tends to sag.

gravity photo from the valley of tears

Stages of severity of the valley of tears

The valley of tears caused by sagging facial fat or melting cheek fat worsens over time.

La fonte de la graisse malaire s’échelonne en 9 stades différents.
Pour le creusement on identifie trois stades de gravité.

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


In the mild stage, the valley of tears may appear as a slight shadow under the eyes, often only noticeable when tired or sleep-deprived.
In the moderate stage, this depression becomes more visible, responsible for more pronounced hollows and a permanently tired appearance, even at rest.
In the severe stage, the valley of tears is deeply marked, with significant hollows giving the face an aged, emaciated appearance.

How can the valley of tears be treated without surgery?

Le traitement de la vallée des larmes se fait par injection d’acide hyaluronique.
Il existe deux techniques : le remplissage du creux et la technique de lift de la graisse malaire.

Sometimes the injection of dark circles and cheekbones, according to the patient's needs and wishes.

The nasolabial folds and folds of bitterness are improved by the lift technique, but an additional injection in these areas (if necessary) can be carried out during the same session.

By filling in the tear trough with hyaluronic acid, it is possible to reduce shadows under the eyes and restore the curve of the cheekbone. The face looks fresher and younger.

filling of the tear valley by injection of hyaluronic acid

How do you remove the valley of tears? The medical lift

The technique of medical liftinvented by Brazilian visual artist Mauricio de Maio, is one of the variations of the MD Codes.
The hyaluronic acid used is very firm, has a lifting effect and is placed deep against the bone. The points injected need to be adapted to each face, which is why it is important to call on the services of an experienced practitioner.

La technique de lift et le comblement de la vallée des larmes par injection d’acide hyaluronique peuvent être combinées, mais le docteur Romano fait toujours précéder la technique de lift à celle de comblement du creux. Cela est essentiel afin d’ éviter de bouffir les visages et donner un résultat joli et naturel.

photo injection valley of tears

How can the valley of tears be filled with an injection of hyaluronic acid?

Le filling the hollow valley of tears with hyaluronic acid is injected using a cannula; injecting with a needle is dangerous.
The hyaluronic acid must be placed deep against the bone and have very low hydrophilicity, both of which are essential to avoid the appearance of permanent oedema typical of a botched injection.

Which hyaluronic acid for the valley of tears?

  • If the face is thinning and tending to become skeletal: a highly cross-linked hyaluronic acid such as Emervel Volume, Restylane or Restylane lyft is injected into the triangle of the valley of tears. The injection is deep, in contact with the bone.
  • If the face looks heavy and slack, with fat ptosis: the aim is to pull on the sagging fat. Dr Romano then performs a medical facelift using injections of very dense hyaluronic acid such as Restylane lyft.

Results before/after hyaluronic acid in the tear valley

Les résultats des injections d’acide hyaluronique au niveau de la vallée des larmes sont immédiats, l’amélioration est visible dès la première séance. Les patients constatent une réduction notable des creux ce qui donne un aspect plus reposé et rajeuni au visage. La peau paraît plus lisse et hydratée, avec un volume restauré de manière naturelle.

Le tiers moyen et inférieur du visage sont liftés : les sillons naso-géniens, les plis d’amertume et les bajoues sont améliorés. Il ne s’agit pas simplement du remplissage d’un creux mais d’un traitement de rajeunissement du visage et du regard.

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.

Les résultats durent entre six et douze mois, selon les caractéristiques individuelles et le produit utilisé.
Des retouches périodiques sont à programmer pour conserver le résultat.

Valley of tears injection: prices

Filling the tear valley may require several syringes of hyaluronic acid. The price therefore depends on the number of syringes injected. This varies according to various criteria: the stage of development of the phenomenon, the characteristics of the face and its anatomy. During the initial consultation, Dr Romano will determine the most appropriate protocol and draw up an estimate.

Type of consultation General rates
Hyaluronic acid
CHF 600 per syringe
Why treat the vale of tears?

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.

Other areas to be treated

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