What is tear trough filler and how does the injectable work?

Tear trough filler is the injectable treatment here to rival your eye cream and your concealer. Beauty editor Kelsey Ferencak chats to Dr Naomi McCullum about how it works and why you need to know about it. 

We love keeping up to date with the latest high-tech treatments, cosmetic procedures and injectables – and one that’s becoming more and more popular for banishing dark circles for good is tear trough filler. It’s also the most recent beauty topic of discussion on our Healthy-ish Podcast.

It’s an exciting topic, especially for those who have tried every concealer and eye cream under the sun but cannot get those circles to budge, but it’s also a pretty serious topic and as with all cosmetic procedures, injectables and face treatments there are risks associated.

So, we spoke to one of Australia’s leading cosmetic physicians (and someone who is experienced in the treatment), Dr Naomi McCullum for her expert advice. She’s also the founder of The Manse and The Manse Uptown clinics.

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First things first, what are ‘tear troughs’?

According to Dr McCullum, they are the depressions from the inner corner of the eyes down to the orbital bone, so it’s exactly where dark circles sit. It’s the junction between your lower eyelid and your cheek.

How do the injections work?

So similar to the way filler plumps lips, it’s used here to ‘fill’ the troughs and reduce the appearance of dark circles. Dr McCullum explains it as lifting the depression and taking the hollowing and shadowing away, as well as smoothing the skin from your eyelid to your cheek. Leaving you looking ‘fresher, less tired and younger.’

Basically, it’s a really good (and semi-permanent) concealer. I should also tell you the best candidates are those with tight under-eye skin, surprisingly. And the worst candidates are those who attract water or are prone to puffiness.

Is it safe? What are the risks?

Dr McCullum does this procedure multiple times a day at her clinic so it’s very common. When it comes to complications there are the common and short-term ones like bruising and swelling – to be expected. And then the rare and catastrophic ones like blindness – the risk for this might be around 1 in 100,000.

Dr McCullum also sees a lot of patients for tear trough corrections. What tends to go wrong is the product might be placed too superficially and you can see the lumpiness. There’s also a side effect called the ‘tyndall-effect’, which is when you can see a blue appearance of the filler through the skin.

Note to self: seek out a good physician.

This is where a great injector comes into play. You should always do your research, only go to someone you trust and will look after you if there is a complication. A good indicator is a clinic that is up-to-date with the latest treatments and technology, you can see their experience and that they understand the anatomy. You can also check to see if they’re a fellow of CPCA or ACAM.