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Tear Trough Filler
Tear Trough and Under Eye Filler
The tear trough is the hollow that runs from the inner corner of the eye down across the top of the cheek. As it deepens it casts a shadow, which is why people describe looking tired when they have slept perfectly well.
Hyaluronic acid filler placed in that hollow restores the volume that has been lost, which softens the shadow.
At Hannah Clarke Advanced Skin and Beauty in Rainford, it is treated by Gemma Fletcher, a Registered Nurse and Independent Nurse Prescriber with over five years injecting daily.
This is one of the most technically demanding areas on the face, and it is not a treatment to shop for on price.
Gemma will often assess cheek filler first, because mid-face support is frequently what the hollow is actually asking for. See dermal fillers in St Helens for the full approach.
Why the under eye is different
Every area of the face carries some risk. The under eye carries more, and the margin for error is smaller.
The skin here is the thinnest on the face and the anatomy underneath is unforgiving. Product placed in the wrong plane, or too much of it, shows. So the questions to ask an injector treating this area are about training, experience and what happens if something goes wrong, not about price.
Gemma injects daily, holds a V300 prescribing qualification, and carries hyaluronidase in the room at every appointment so that hyaluronic acid filler can be dissolved immediately if it ever needs to be.
She is also willing to say no. If the hollowing is not the actual cause of what is bothering you, filler will not fix it, and she would rather tell you that at consultation than take the booking.
Tear trough is one of a number of areas she treats. The others are cheeks to lift and contour, chin to elongate the face and harmonise the contours, jaw for contour and structure, temples to restore volume, marionette lines, nasolabial folds, and lips and lip lines.
Safety, honestly
Most people asking about filler are really asking about safety, so here is the honest version.
Mild effects are normal. Bruising and swelling after treatment are expected rather than a problem.
Infection is uncommon and usually avoidable. The procedure is as sterile as it can be and the skin is thoroughly cleansed. Where infection does occur it generally follows aftercare being ignored, most often makeup going on the area too soon. That is why Gemma asks you not to rub or touch the area for the first four hours.
Vascular occlusion is the serious one. It is where filler blocks an artery supplying the treated area. It is rare, and in Gemma's words it is usually a problem of unsafe hands. If left unrecognised it can lead to tissue necrosis, which is what people have seen on social media and in the papers. That outcome almost always traces back to a practitioner who did not react quickly enough, or who sent the client away without properly explaining aftercare.
Gemma will not let you leave the clinic if she has any concern about occlusion. After treatment she assesses the colour of your skin and any pain you are experiencing, and she is looking at the treated area specifically before she is happy for you to go home. If a complication did occur, hyaluronic acid filler can be dissolved immediately, and beyond some bruising there would be no lasting result.
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Meet Gemma Fletcher, Nurse Prescriber
Dermal filler treatments at Hannah Clarke are delivered by Gemma Fletcher.
- Registered Nurse with the Nursing and Midwifery Council.
- V300 Independent Prescribing qualification, so she consults, prescribes and administers independently.
- Trained at Northwest Aesthetics and Dr. Hennessy Aesthetics, with ongoing training.
- Over five years injecting dermal filler, performing treatments daily.
- Carries hyaluronidase, the enzyme that dissolves hyaluronic acid filler, on site at every appointment.
That last point matters more than it sounds. In her words: "I would have hyaluronidase on site at every appointment just to ensure in an emergency I would be able to treat." Not every injector can prescribe it, and not every injector has it in the room.
FREQUENTLY ASKED QUESTIONS
What is the tear trough?
>The hollow running from the inner corner of the eye across the top of the cheek. As it deepens it casts a shadow under the eye, which is why people say they look tired when they are not.
Is under eye filler safe?
>It is one of the most technically demanding areas on the face, which is why who treats it matters more here than anywhere else. Gemma injects daily, holds a V300 prescribing qualification and carries hyaluronidase on site at every appointment so filler can be dissolved immediately if needed.
Will it get rid of my dark circles?
>It depends what is causing them. Where the shadow comes from hollowing, restoring that volume softens it. Where the darkness is pigment or thin skin rather than a hollow, filler is not the answer, and Gemma will tell you that at consultation.
What other areas do you treat with filler?
>Tear trough, cheeks to lift and contour, chin to elongate and harmonise the facial contours, jaw for contour and structure, temples to restore volume, marionette lines, nasolabial folds, lips, and lip lines including smokers lines.
Who will be treating me?
>Gemma Fletcher, a Registered Nurse with a V300 Independent Prescribing qualification, trained at Northwest Aesthetics and Dr. Hennessy Aesthetics, with over five years injecting dermal filler daily.
Is dermal filler safe?
>On the whole it is a safe treatment. Bruising and swelling are normal. Infection is uncommon and usually follows aftercare being ignored. Vascular occlusion, where filler blocks an artery, is the serious complication, it is rare, and Gemma assesses your skin colour and any pain after treatment before she is happy for you to leave. Hyaluronic acid filler can be dissolved immediately if needed.
What is the aftercare?
>No makeup on the area for four hours, no rubbing or touching the area for four hours, and no exercise or alcohol for the first 24 hours.
How soon before an event should I have it done?
>Leave two to four weeks. You will see an immediate improvement, but swelling and bruising need time to settle and the result is better at two weeks.
How much does it cost?
>Filler is priced by volume, from 1ml upwards, and what you need depends on the outcome you are working towards. Discounts are available for treatment plans using multiple vials. Pricing is confirmed at your consultation.
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