What causes under eye hollowness and dark circles?
Many people suffer from under eye darkness and/or hollowness for which no lotion or potion works to any appreciable degree. The causes are multifactorial, including age-related volume loss and gravitational descent of the cheeks and midface, creating an empty space between the eyes and cheeks (called tear trough deformity); chronic inflammation in allergy sufferers (e.g. pets, seasonal, food); hereditary dark eyelid skin; and shadowing from protruding eyelid bags causing a “pseudo-dark circle.”
Why Choose Dr. Gupta for tear trough rejuvenation?
The success of tear trough rejuvenation is predicated on exquisite anatomic knowledge and meticulous technique. While many cosmetic doctors perform tear trough injections, ophthalmic plastic surgeons have the highest level of expertise when working in this delicate area and as such, can deliver safe, smooth, and natural results. Dr. Gupta has performed over 5000 tear trough injections to date and patients come from all over to benefit from her advanced technique which ensures no lumpiness or Tyndall effect (bluish hue resulting from filler being injected incorrectly).
Which fillers are used for tear trough rejuvenation?
Dr. Gupta uses “natural” fillers for the undereye area, such as Restylane (a sugar found naturally in our skin and joints) and Radiesse (a calcium-based mineral found naturally in our bones and teeth). As such, the body does not consider these injectables as foreign and does not mount an allergic response. Moreover, Restylane can be reversed and Radiesse can be dissolved. Dr. Gupta avoids Juvederm (yields an unnatural, bubbling look) and permanent fillers such as Sculptra, silicone, or autologous fat as they carry a greater risk of complications such as festoons, lumpiness, abscesses, or allergic reactions. She has had to perform numerous revisional surgeries for these untoward effects on patients who had such fillers elsewhere.
What can I expect?
All blood thinners and aspirin should be discontinued 1 week prior to the injection. After topical numbing cream, Dr. Gupta gently injects the filler into the tear trough area. The treatment takes under half an hour and is virtually painless. It takes a few weeks for the filler to settle in but most patients see instant improvement.
BEFORE/AFTER GALLERY: TEAR TROUGH FILLER
Before Bleph
Note heavy upper lids, baggy lower lids, deep tear troughs.10 Months After Bleph
After laser upper and lower lid blepharoplasty, there is improved eyelid sculpture. She still needs some filler in the tear trough to improve the volume loss there.After Tear Trough Filler
Note further improvement of the lower lid darkness after tear trough filler.
Before Bleph
Note heavy upper lids, baggy lower lids, undereye circles from volume loss.3 Months After Bleph
Improved eyelid sculpture after upper and lower blepharoplasty. Undereye circles improved dramatically but there is still some mild volume loss that can now be addressed with minimal filler.After Tear Trough Filler
Note further improvement of undereye area.5 1/2 Years After Bleph/Tear Trough Filler
Excellent maintenance of eyelids and tear trough area 5 1/2 years after bleph and a single session of filler!
Before Bleph
Note heavy upper lids, baggy lower lids, deep tear troughs causing undereye circles.9 Months After Bleph
After laser upper and lower blepharoplasty, the eyelids are improved. Now, the tear trough area can be further improved with just a little bit of filler to address the volume loss.After Tear Trough Filler
Immediately after minimal tear trough rejuvenation, there is a dramatic improvement and further brightening of the undereye area.
Before
Deep tear trough pockets from extensive volume loss.Immediately After
Right after tear trough filler, there is instant, dramatic improvement of the tear trough hollowing with a brighter undereye area.9 Months After
The filler has settled nicely and smoothly. There is sustained improvement. It is important to build the tear trough over time to ensure a natural transformation.
Before
Deep tear troughs due to volume loss.Immediately After
Right after complete inferior orbital rim volume rejuvenation, the hollowness is improved. Note no lumpiness or an overdone look.3 Years After
The filler settled in nicely and remained smooth. There is some hollowness but he will need less filler now because there is always some residual and he has built up his own collagen.
Before
Undereye dark circles from hollowness.After First Session
3 weeks after first tear trough filler session. Note the filler has settled in smoothly without any lumpiness and the patient can now have more injected for more brightening of the undereye area.After Second Session
Immediately after second session, there is further improvement.