Many patients come to my office complaining of dark circles under their eyes and looking tired. This can be caused from a number of things. It is important to assess the under eye area carefully, as well as obtaining a full patient history. Under eye tiredness or circles can be cause from: lack of sleep, dehydration, recent illness, stress, hyperpigmentation, sinus issues, allergies, or crying. It can also be hereditary.

After assessing these things, we move on to assessing the tear trough (under eye area). During this assessment I am considering age, health history, and what the patients under eyes look like. If your under eye area has large bags or looks like you are retaining fluid up under your eyes, I am sorry to tell you, you are not a candidate. If you are over the age of 40 and you have bags (herniated fat pad) or lose/ crepy skin under the eyes, you are not a candidate. These patient may be referred to a plastic surgeon for a consultation for a blepharoplasty. If we would put tear trough filler in one of these patient, it would look BAD, and I am not going to give my patients POOR results. The best thing is to be honest with them about the situation.

The perfect under eye filler candidate, has no medical history or factors we talked about above, no lose skin or crepiness under the eyes, no herniated fat pads, and has the perfect little hollowness from the pupil to the inner canthus to fill easily. With a special technique, I can go in through the cheek and pop up that hollowness with filler to make the under eyes appear brighter and rejuvenated. In my video below, I inject the perfect candidate for tear trough filler. We also inject her cheeks, which is very common to do in combination with tear trough filler. Check it out!

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