TEAR VALLEY INJECTIONS WITH HYALUONIC ACID

What is the valley of tears?

This poetic expression (it designates the place where tears flow) refers to the line between the cheekbone and the wing of the nose, which continues the rim of the eye. In fact, it's the same line that, in its orbital part (upper part), forms the rim of the eye and, in its malar part (lower part at the level of the cheekbone), forms the valley of tears.
Its appearance gives a sad, tired look and makes the eyes droop. An area of shadow (a hollow always corresponds to an area of shadow) is created in the middle third of the face, which becomes less luminous.
Its appearance is accompanied by a break in the curve of the cheekbone, the appearance of the nasolabial fold and sometimes bitterness folds and jowls.

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Highlights

Hyaluronic acid to fill the valley of tears in Geneva 

In aesthetic medicine, the treatment of the valley of tears is increasingly requested by patients who want to regain a youthful, rested appearance.
The hyaluronic acid injections in the valley of tears are a safe and effective solution for combating the signs of ageing.

Patients particularly appreciate the immediate results and rapid recovery. Visit before and after photos of the valley of tears treatment show significant improvement, contributing to the growing popularity of this procedure in aesthetic medicine.

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.

There are 9 different stages in the melting of malar fat.
Three stages of severity have been identified for digging.

  • 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?

The valley of tears is treated with an injection of hyaluronic acid.
There are two techniques: filling the hollow and lifting the malar fat.

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.

The lift technique and the Filling the valley of tears by injection of hyaluronic acid can be combined, but Dr Romano always precedes the lift technique with the filling of the hollow. This is essential in order to avoid puffing up the face and to give an attractive, natural result.

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

The results of hyaluronic acid injections in the valley of tears are immediate, with improvements visible from the very first session. Patients notice a noticeable reduction in hollows, giving the face a more rested and rejuvenated appearance. The skin appears smoother and more hydrated, with volume restored in a natural way.

The middle and lower third of the face are lifted: the nasolabial folds, bitterness folds and jowls are improved. It is not simply a question of filling a hollow but of a facial rejuvenation treatment and look.

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.

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.  

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

Hollow eye

Opening Look

Dark circles

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