Has Your Tear Trough Filler Gone Wrong? We Can Fix It

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February 1, 2021
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Tear Trough Filler

Tear trough fillers are a non-surgical cosmetic treatment for those who wish to correct tired-looking eyes. This procedure has become increasingly popular in recent times, with patients seeking a quick, pain-free fix to the problem of tear trough hollows and under-eye bags – a natural result of the ageing process in which the skin loses volume and becomes laxer.

When performed correctly, tear trough treatment can achieve a smoother, younger, more rejuvenated appearance, with a noticeable reduction in under-eye bags and deep lines.

However, with an abundance of clinics and “medispas” now offering this treatment, unfortunately, not every practitioner who is performing it is highly qualified and has the specific knowledge and advanced technical experience needed to carry out the procedure effectively. As a result, we have seen a rise in tear trough filler complications that require correction by a skilled practitioner.

If you have had tear trough filler treatment that has gone wrong, we may be able to correct it for you. Continue reading as we outline the various problems that could occur as a result of botched tear trough treatment and how we can fix them for you.


Why can tear trough filler go wrong?

Tear trough fillers are most likely to go wrong when they are performed by unskilled practitioners, who lack the proper understanding of patient anatomy, may choose the wrong type of filler, or do not appropriately select patients suitable for this type of treatment.

The tear trough is a complex area to treat as the tissues are much thinner here than in other areas of the face, making any sort of problem much more obvious. Likewise, the proximity to the eye means that tear trough treatment is best performed by skilled oculoplastic surgeons, such as Daniel Ezra, who understands the complex anatomy of the eye area and can successfully manage any post-operative eye-related complications if they arise.


What problems can occur after tear trough filler?

Overfilled tear trough area

A common problem encountered as a result of a practitioner using too much filler is the overfilling of the tear trough area, resulting in puffiness or noticeable lumps that may become more obvious when a patient smiles or when looking at the area from above. The tear trough area is subtle, so the aim of tear trough treatment should be to improve but not eliminate the area completely.

Our solution to help correct the problem of an overfilled tear trough area is to dissolve the filler. Once this has settled, we can then apply the correct amount of filler, achieving a subtle change in appearance and the desired result of a younger, fresher you.

Discolouration under the eyes after filler

Discolouration can occur where filler is injected under the skin only superficially. This is also known as the “Tyndall effect” and can result in a green/blue discolouration that may become more noticeable in daylight. Correctly applied tear trough filler should be injected deeply into the skin rather than just at the surface.

Our resolution to this problem would be to again dissolve the filler using an enzyme that helps to break the solution down. We then invite the patients back to the clinic after several weeks to correctly insert the filler in the right area.

Swelling under the eyes after filler

Following tear trough filler, some patients may experience swelling under the eye area or in the mid-cheek region. This occurs when filler is incorrectly placed above the orbicularis retaining ligament or is inserted under the skin too superficially. As fillers attract water, it can result in under-eye swelling where the solution is placed too close to the surface.

The choice of filler product must also be carefully selected, as there are different types and they vary in the amount of water they attract and, therefore, the potential they have to cause swelling. A highly skilled practitioner will know which type is most appropriate.

Where a patient presents to us with the problem of under-eye swelling, our solution is again to dissolve the filler. Once the filler has completely dissolved, we will invite the patient back for another consultation and assess whether they are a good candidate for tear trough filler treatment.

Some patients are unsuitable for treatment and a common problem we see is botched filler as a result of the application of filler in people who do not need it or who may be better suited to other cosmetic eye treatments, such as blepharoplasty.


Who is unsuitable for tear trough filler?

Patients with dark skin pigmentation

If your biggest concern is dark circles under the eyes, then tear trough filler may not be the right treatment for you. Under-eye dark circles are a complex problem to treat and tear trough fillers will not fix the issue of skin pigmentation. In fact, if your dark circles are caused by a darker pigment in your skin, then filler may accentuate them.

Treatments such as chemical facial peels and laser skin treatments may be more appropriate but, again, these should only be performed by trained professionals.

Patients with festoons/malar bags

Festoons or malar bags are swollen, puffy bags appearing under the eyes, which commonly occur due to midface ageing.

A very common problem that we see in our clinic is the worsening of malar bags as a result of previous tear trough filler treatment. As fillers tend to cause swelling, any patient with malar bags or festoons should avoid filler treatment, as this will only exacerbate the problem.

Patients with excess skin and heavy under-eye bags

People with excessive under-eye bags or loose skin may be better suited to eye bag removal surgery, known as blepharoplasty, a long-term solution to tired-looking eyes.

Blepharoplasty is the removal of excess skin and muscle from the upper or lower eyelid area, reducing or repositioning the underlying fat to result in a more youthful appearance. Daniel Ezra is a highly skilled specialist in blepharoplasty.


What should correctly performed tear trough fillers look like?

If tear trough fillers are performed correctly by a skilled practitioner, results should be subtle, but make a noticeable difference to the appearance of tired eyes. Please refer to our past patient tear trough filler before and after pictures for a realistic view of how successful tear trough treatment should look.


Daniel Ezra is a leading oculoplastic surgeon who is experienced in dealing with previous filler complications. If you have had a tear trough treatment that has gone wrong, fill out the form to book a consultation or call us now on 020 7127 8184.