Tränenrinne mit Hyaluron-Filler Stuttgart | VMAesthetics

What is the Tear Trough?

The tear trough (also referred to as the nasojugal groove or simply "dark circles under the eyes") is the physiological depression that extends diagonally downwards from the inner corner of the eye toward the mid-face. This hollow area casts dark, hollow shadows under the eyes, which can make you appear tired, aged, and physically drained.

The tear trough is strictly **anatomical in nature** rather than a typical expression wrinkle – it is a physical groove situated between the lower eyelid tissues and the upper cheek structures.

Primary Causes:

• Natural facial anatomy (highly genetic)
• Volumetric bone and fat loss due to aging
• Descending cheeks pulling down the lower lid tissue
• Extremely thin, transparent skin beneath the eyes
• Prominent, bulging orbital fat pads (bags under the eyes)

How does Hyaluronic Acid Treat the Tear Trough?

A specialized, highly cooperative and low-viscosity hyaluronic acid filler is injected to smooth and lift the groove:

• The structural hollow is carefully elevated and leveled
• Tired, dark hollow shadows are immediately eliminated
• The eyes appear larger, brighter, and beautifully refreshed
• The exhausted, aged facial expression disappears

Crucial Note: The tear trough is one of the most technically demanding areas for dermal filler injections in the entire face. Exceptional anatomical knowledge and specialized clinical experience are absolutely essential.

The Treatment Procedure Step-by-Step

1. Expert Consultation & Mapping
Precise analysis of your eye area to diagnose whether the dark circles are caused by structural hollows (ideal for fillers), pigmentation (laser preferred), or protruding eye bags.

2. Preparation
Gentle cleansing, disinfection, and application of a medical-grade topical numbing cream to ensure maximum comfort in this sensitive area.

3. The Injection
Extremely precise delivery of the thin hyaluronic acid filler, typically performed using a micro-cannula or an ultra-fine needle. The process takes 20–30 minutes.

4. Soft Sculpting
Very gentle smoothing of the gel by the clinician to achieve a completely flat, seamless transition.

Which Fillers Do We Recommend?

We use exclusively low-viscosity, non-swelling hyaluronic acids specifically approved for the eye region:

• Belotero Soft / Balance: Extremely fine integration into thin skin layers
• Restylane Eyelight: Clinically optimized specifically for hollow tear troughs
• Teosyal PureSense Redensity 2: A patented blend containing amino acids, vitamins, and minerals to brighten the skin

These specialized gels are chosen because they do not pull excessive water, strictly preventing post-treatment bags or the Tyndall Effect (a bluish discoloration of the thin skin).

Key Advantages of the Treatment

• An immediately refreshed, rested, and glowing gaze
• Significant reduction in the tired, exhausted facial expression
• Eyes appear larger, brighter, and structurally rejuvenated
• Absolutely zero social downtime is required
• A highly effective, non-surgical alternative to lower eyelid surgery
• Fully reversible using hyaluronidase if requested

Essential Clinical Guidance

💡 Extremely High Technical Standard: The eye area is lined with very thin, fragile skin and an abundance of blood vessels. Only highly qualified aesthetic doctors should treat this region.

Not all "dark circles" are treated the same:

• Structural volume loss › Filler: ✓ (Highly effective)
• Skin pigmentation (genetic brown/purple skin color) › Filler: ✗ (No, laser therapy is better)
• Prominent eye bags (herniated fat) › Filler: ✗ (Not recommended; requires surgical blepharoplasty)
• Extremely saggy skin › Filler: ✗ (No, microneedling or Plasma Pen is preferred)

Post-Treatment Aftercare Guidelines

• Avoid applying eye makeup for at least 24 hours
• Refrain from intense physical sports and workouts for 48 hours
• Apply cool compresses gently to minimize temporary swelling (do not press hard)
• Do not massage or rub the under-eye area
• Sleep with your head slightly elevated on an extra pillow for the first night

Safety Profile & Potential Side Effects

• Temporary swelling (very common, lasting 3–7 days): The delicate eye tissue is highly prone to temporary fluid retention.
• Minor bruising (common, resolves in 1–2 weeks, easily concealed with concealer after 24 hours)
• Tyndall Effect (bluish skin tint occurring if filler is placed too superficially; easily dissolved)
• Small, palpable gel nodes (rare, easily smoothed or dissolved)
• Minor asymmetry (rare, easily corrected at follow-up)

› Please plan this treatment with 3–7 days of buffer time before important events, as local swelling is very common.

Who is this Treatment Best Suited For?

Ideal for:

• Individuals presenting with deep, sunken tear troughs due to aging or genetics
• Patients bothered by dark shadows and hollows under their eyes
• Those wishing to instantly refresh a chronically tired, worn-out facial expression

Contraindications:

• Genetic superficial dark skin pigmentation (hyperpigmentation)
• Severe, prominent fluid or fat-filled bags under the eyes
• Extreme skin laxity of the lower eyelids
• Pregnancy and breastfeeding periods
• Active ocular or localized skin infections

Alternative Treatments

• Skinboosters: Focused on improving skin hydration and fine texture
• Carboxytherapy: Highly effective to improve microcirculation and oxygenation
• Laser Rejuvenation: Ideal to clear hyperpigmentation and stimulate collagen
• Plasma Pen: Best to tighten loose, creepy skin under the eyes
• Lower Blepharoplasty (Surgery): The gold standard to remove prominent, herniated eye bags