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Why do we not recommend tear trough fillers?
The orbital cavity is a closed space and potentially very dangerous to inject with hyaluronic acid fillers.
Depending on the viscosity of the product, fillers can last up to 10 years as seen on MRI and ultrasound.
Fillers fluctuate with salt, monosodium glutamate, seasonal allergies, allergic rhinitis, blocked tear ducts, sinus infections, and dehydration from alcohol and caffeine.
They are often overdone, overcorrected and people present with under eye swelling and accentuation of the periorbital fat pad.
Rarely do they offer correction of the dark circles under the eye as these are genetic, and environmental from allergy, sinus issues, and vascularity.
Extreme pain, loss of vision or seeing floaters at the time of injection are signs that something is wrong. The hyaluronic acid can be accidentally injected into a blood vessel and this could lead to temporary or permanent loss of vision. Always ask your provider how they plan to deal with this emergency. Do they have emergency treatment protocols for retinal artery occlusion? If you are still considering going ahead with this procedure, it is very important to see a dermatologist, plastic surgeon or oculoplastic surgeon, instead of a medical spa nurse injector. There will be tighter regulations, proper qualifications and less risk of infection, sepsis, vascular occlusion and potentially poor results.
Possible complications of tear trough fillers include:
- skin discoloration
- allergic reactions
- persistent pain
- edema (swelling) around the eye
- filler forming into lumps
- granuloma (small area of swelling or inflammation)
- loss of vision (transient or permanent)
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