{"id":27638,"date":"2025-06-10T09:37:13","date_gmt":"2025-06-10T07:37:13","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&p=27638"},"modified":"2026-07-03T13:49:48","modified_gmt":"2026-07-03T11:49:48","slug":"treatments-correction-tear-trough","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/traitements-correction-vallee-larmes\/","title":{"rendered":"Quels sont les traitements esth\u00e9tiques disponibles pour corriger la vall\u00e9e des larmes ?"},"content":{"rendered":"

WHAT ARE THE AESTHETIC TREATMENTS AVAILABLE TO CORRECT THE TEAR TROUGH ?<\/h1>\n

The tear trough<\/a> is a sunken area between the lower eyelid and upper cheek.
Its appearance often gives the face an expression perceived as melancholy, tired or prematurely aged. This infraorbital hollow results from several pathophysiological processes : resorption of the malar fat pad, loss of skin firmness and stretching of supporting ligament and dermal structures. Validated medical solutions are now available to correct the hollow gradually and safely, with treatment adapted to each facial shape.<\/p>\n

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Tear trough filling with hyaluronic acid injections<\/h2>\n

The first-line treatment of the tear trough relies on the use of a specific hyaluronic acid, injected directly into the hollow to restore lost volume. This molecule, naturally present in the body, has remarkable hydrophilic properties, allowing immediate rehydration and filling of the hollow.
The hyaluronic acid used for this indication must meet strict criteria : low viscosity, high cohesion, and great flexibility to adapt to the movements of this highly mobile area. It is injected using small cannulas, deeply, either in contact with the bone or in the subcutaneous plane, depending on the patient\u2019s anatomy. The correction is progressive, often performed in two stages to avoid overcorrection and ensure a natural result.
The advantages of this method are multiple : immediate and reversible results, no social downtime, precise injection, and visible improvement of the eyelid-cheek transition. However, this technique requires precise expertise of the periocular region to avoid complications, notably the risk of product excess, nodules, or visibility of the product under thin skin.<\/p>\n

Hyaluronic acid medical lifting to correct tear troughs<\/h2>\n

Another approach addresses the cause of hollowing rather than filling the groove directly : descent of the malar fat compartment. This technique follows a biomechanical principle : restoring volume in the middle third of the face (cheekbones and zygomatic arch) restores natural tissue support, harmoniously lifting sagging structures \u2014 including those responsible for tear trough development.
Hyaluronic acid is injected using a medical lift<\/a>ing technique. This strategy offers several advantages : reduced risk of irregularities or overcorrection in the tear trough, a more comprehensive and harmonious result, and an effect on overall facial dynamics.
It requires complete knowledge of deep anatomical planes and traction vectors. This technique is particularly suitable when infraorbital hollowing occurs alongside general malar sagging.<\/p>\n

Sculptra\u00ae : stimulating collagen to treat tear troughs<\/h2>\n

Sculptra<\/a>, based on poly-L-lactic acid, is not a filler that produces immediate results. Its mechanism involves gradual stimulation of collagen synthesis : after injection into the deep dermis and subcutaneous tissue, it induces a fibroblast response that restores skin thickness, firmness and density.
Dans le cadre du traitement de la vall\u00e9e des larmes, Sculptra est utilis\u00e9 pour reconstruire le matelas dermique appauvri, restaurer les volumes de mani\u00e8re diffuse et \u00e9viter l’effet de correction excessive. Il permet une am\u00e9lioration durable de la qualit\u00e9 et de la structure cutan\u00e9e, avec un effet lifting subtil et naturel.
This approach offers notable advantages : gradual, adjustable results without an overfilled appearance, stimulation of the body's own collagen production and physiological restoration of skin density.
Ce traitement s\u2019adresse particuli\u00e8rement aux patients dont la vall\u00e9e des larmes est li\u00e9e \u00e0 une fonte diffuse du derme et du tissu graisseux, souvent observ\u00e9e apr\u00e8s 40 ans. Il peut \u00eatre combin\u00e9 \u00e0 d’autres techniques pour un effet synergique, notamment chez les patients dont la peau est fine.<\/p>\n

Laser photorejuvenation to improve tear troughs<\/h2>\n

In certain situations, particularly when tear troughs are associated with very thin, crepey or poorly toned skin, laser photorejuvenation<\/a> is an effective complementary treatment. Non-ablative and ablative fractional laser technologies (such as Fraxel\u00ae) stimulate collagen production, improve skin quality and increase its density.
Although indirect, their action remains essential : by improving skin quality, these treatments reduce transparency, soften shadows along the infraorbital groove and strengthen dermal support for restored volumes. Laser treatment is particularly relevant for patients with accompanying fine lines or mild hyperpigmentation that visually accentuates the hollow's depth.
The benefits are multiple and form part of a synergistic treatment approach. Skin quality and firmness improve noticeably. The skin becomes denser, more supple and visibly revitalised. This improvement reinforces the smoothing effect of injections by providing additional dermal support. The eyes also look fresher, with visibly reduced signs of tiredness. Several sessions are required, and preliminary assessment by an experienced doctor is essential to choose the right protocol according to phototype and skin thickness.<\/p>\n

Which treatment should you choose to correct tear troughs ?<\/h2>\n

The choice of aesthetic treatment to correct tear troughs depends on several factors that must be carefully assessed during the initial consultation. There is no universal solution : the strategy depends on the main cause of hollowing (fat loss, ptosis or skin atrophy), the patient's age, skin thickness, muscle mobility and desired outcome.
In younger patients whose tear troughs are mainly constitutional (associated with low cheekbones or limited malar projection), hyaluronic acid filler injections are often sufficient. In older patients with volume loss and general midface sagging, combined treatment using medical lifting techniques, Sculptra and laser skin densification is generally more appropriate.
Clinical examination must therefore be meticulous. It involves static and dynamic palpation of the orbitomalar area, assessment of volume, inspection of skin quality and sometimes imaging tools (medical photographs, polarised light or volumetric mapping). The aim is a rational, coherent and gradual treatment strategy that achieves a natural, stable result without overcorrection.<\/p>\n

Can several treatments be combined to correct tear troughs ?<\/h2>\n

A combined approach using several techniques is often most appropriate. Tear troughs never have a single cause but always result from several structural deficiencies : loss of bone support, sagging fat compartments, reduced dermal density and skin laxity. Correcting only one tissue plane is often insufficient for a complete aesthetic result.
Combining techniques in a considered sequence allows tear trough treatment to respect the anatomical layers. First, deep volume is restored with cross-linked hyaluronic acid injected deeply against the bone. Next, targeted filling with a more fluid product is added if necessary. The tissues are then stimulated with Sculptra to restore natural skin thickness. Finally, the superficial skin structure is strengthened with laser photorejuvenation sessions.
Cette prise en charge permet d’obtenir un r\u00e9sultat coh\u00e9rent, harmonieux et durable, en \u00e9vitant les erreurs classiques comme le remplissage excessif et isol\u00e9 de la vall\u00e9e des larmes.<\/p>\n

What are the limitations of tear trough treatments ?<\/h2>\n

Even though it is now possible to achieve remarkable results through aesthetic medical procedures, certain limitations must be clearly explained to the patient. The valley of tears is a particularly delicate anatomical area: richly vascularized and subject to significant individual variations, it requires a precise and cautious approach. Some morphologies, especially those associated with very thin skin, make the treatment more technical and demand increased expertise. Several factors must be taken into account during the assessment and planning of the procedure :<\/p>\n