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Tear Trough Treatment
Specialized under-eye rejuvenation using premium fillers designed for the delicate tear trough area—reducing dark circles and hollowing for a refreshed, rested appearance.
Ready to get started?
Specialized under-eye rejuvenation using premium fillers designed for the delicate tear trough area—reducing dark circles and hollowing for a refreshed, rested appearance.
Tear trough treatment addresses the hollow area beneath the eyes that creates shadows and a tired appearance. Belotero Balance is the only filler specifically approved for infraorbital hollows (the under-eye area)—making it your provider's preferred choice for this delicate zone. The tear trough is one of the most challenging areas to treat due to thin skin, proximity to the eye, and risk of visible filler (Tyndall effect).
Belotero's unique Cohesive Polydensified Matrix (CPM) technology allows it to integrate smoothly into the thin periorbital tissue without creating visible lumps or the blue-gray discoloration that can occur with other fillers. your provider may also use Restylane or RHA fillers depending on your specific anatomy and the depth of hollowing.
Belotero Balance is specifically approved for infraorbital hollows—the only filler with this indication for the delicate under-eye area.
Addresses hollowing that creates shadows and dark circles, making you look more refreshed and rested without looking overdone.
CPM (Cohesive Polydensified Matrix) technology allows Belotero to integrate smoothly into tissue rather than sitting as a distinct layer—critical for thin under-eye skin.
Hyaluronic acid fillers can be dissolved with hyaluronidase if adjustments are needed—important given the visible nature of this area.
Proper product selection and injection depth minimize the risk of Tyndall effect—the blue-gray discoloration that can occur when filler is placed too superficially.
Your provider uses a 'less is more' philosophy for tear troughs—starting conservatively and adding if needed is safer than overcorrection in this delicate area.
Tear trough treatment works best for specific types of under-eye concerns. The best candidates are those who:
Have hollow tear troughs creating dark circles or shadows
Dark circles caused by volume loss (not skin pigmentation)
Good skin quality without excessive crepiness or loose skin
Realistic expectations about what filler can address
No history of significant under-eye swelling or puffiness (may worsen)
Not prone to severe bruising (blood thinners relative contraindication)
Under-eye hollows develop when the fat pad that cushions the eye begins to descend or thin with age, creating a shadow in the 'tear trough' depression. This creates dark circles that are actually shadows, not pigmentation. Other factors include genetics (some people are born with deeper tear troughs), volume loss in the midface, and thinning of the delicate under-eye skin that allows underlying vessels to show through.
Belotero Balance is the only dermal filler specifically approved for infraorbital hollows (the under-eye area). Its unique CPM (Cohesive Polydensified Matrix) technology allows it to integrate smoothly into the thin periorbital tissue without creating visible lumps. Other fillers can appear as distinct 'boluses' under thin skin or cause the Tyndall effect (blue discoloration). Your provider may also use Restylane or RHA products depending on your specific anatomy.
The Tyndall effect is a blue-gray discoloration that occurs when hyaluronic acid filler is placed too superficially in the thin under-eye skin. It happens because light scatters through the translucent filler particles. Prevention requires: (1) choosing appropriate products designed for this area, (2) injecting at the correct depth (below the orbicularis muscle, on the periosteum), and (3) using conservative amounts. Belotero's unique formulation reduces Tyndall risk, which is why it's preferred for tear troughs.
No. Tear trough filler addresses hollowing and shadows caused by volume loss. It will not improve: hyperpigmentation (brown discoloration from melanin), visible blood vessels, or significant skin laxity/crepiness. During consultation, your provider assesses whether your dark circles are primarily structural (good candidate) or pigmentation-based (may need other treatments like laser or brightening creams). Some patients benefit from combining filler with other treatments.
This is one advantage of hyaluronic acid fillers—they can be dissolved with hyaluronidase (an enzyme that breaks down HA) if results are unsatisfactory or complications occur. Dissolution is safe and effective, returning the area to its pre-treatment state. This reversibility is why your provider prefers HA fillers over permanent options for this visible, delicate area.