¿Sirve para cualquier tipo de ojera?

No, y es la duda más importante. Funciona cuando la ojera es una sombra por hundimiento del surco lagrimal. Si el problema es pigmento o vasos, el abordaje es otro, y si hay bolsas o piel sobrante, rellenar no es la solución. La valoración decide.

¿Duele infiltrar tan cerca del ojo?

Menos de lo que parece. Se aplica crema anestésica, se trabaja con cánula en la mayoría de casos y el producto suele llevar anestésico local. Se nota presión más que pinchazo.

¿Cuánto dura el resultado?

En esta zona lo habitual es entre 8 y 12 meses, y en algunos casos más, porque es un área de poco movimiento. Depende del producto, de la cantidad y de tu metabolismo.

¿Puede quedar hinchado o con un tono azulado?

Son los dos efectos que se vigilan. Si se pone demasiado producto o demasiado superficial puede quedar hinchazón persistente o un reflejo azulado. Por eso se usa poca cantidad, en plano profundo y por fases.

¿Se puede quitar si no me gusta?

Sí. El ácido hialurónico es reabsorbible y, si hiciera falta, puede disolverse con un tratamiento médico específico. Es una de las razones por las que se elige este material en una zona tan visible.

¿Cuántas sesiones necesito?

Habitualmente una, con una revisión posterior. En surcos muy profundos se prefiere repartirlo en dos sesiones separadas unas semanas antes que forzar todo el volumen de golpe.

¿Puedo ir a trabajar después?

Sí. Puede quedar algo de hinchazón o algún punto rojo las primeras horas. Si te preocupa que se note, deja un par de días de margen antes de una reunión importante.

¿Hay casos en los que no se hace?

Sí. No se infiltra con infección o herida activa en la zona, ni sobre problemas oculares o dermatológicos sin controlar, y se valora con especial cuidado en embarazo, lactancia, enfermedades autoinmunes y tratamientos anticoagulantes. Se decide en consulta, nunca por teléfono.

Tear trough filler

Medical treatment of the tear trough with hyaluronic acid so that your eyes stop looking tired when you are not

30-45 minutes

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About the treatment

What does it involve?

There are dark circles that are a problem of volume and dark circles that are a problem of colour. They are not treated the same way, and confusing them is the reason many people end up with a result they did not expect.

This treatment is aimed at the hollow dark circle: the tear trough, the step that marks itself between the lower eyelid and the cheekbone. When it deepens, it creates a fixed shadow that light accentuates and that does not depend on how much you have slept. It is corrected by depositing a very small amount of low-density hyaluronic acid in a deep plane, usually with a cannula to respect the vessels of a very delicate area.

Tear trough Fine cannula Minimal amounts

If your dark circle is brown, from pigment, filler is not going to remove it: there the work is to depigment and protect from the sun. And if what is showing is fat bags or there is excess skin on the eyelid, adding product can make the appearance worse rather than better.

That is why here we do not treat the dark circle, we treat your dark circle. At the medical assessment we identify which type you have, whether it is a mixture of several and whether filler is indicated. If it is not, we tell you and explain what does make sense.

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Not all dark circles are treated the same way

Broadly speaking there are three origins and they almost always come mixed: the structural dark circle, which is a shadow caused by hollowing of the tear trough; the pigmentary one, brown in tone from excess melanin; and the vascular one, bluish, because the skin of the eyelid is so thin that the vessels show through. Filler only responds well to the first, and the examination is what decides.

What is assessed in the gaze

The real depth of the tear trough
The thickness and transparency of the eyelid skin
Whether there are fat bags or only shadow
A pigmentation and vessel component
Projection of the cheekbone and support below
Laxity of the lower eyelid
A tendency to retain fluid and morning puffiness
Medical history, allergies and medication

Common reasons for consultation

People ask whether you slept badly when you slept well
Your eyes look dull on video calls and in photos
The shadow is accentuated by light from above
One side more hollow than the other
The concealer you use does not manage to cover the shadow
The area has been emptying out since your mid-thirties

How the area is worked on

Examination of the lower eyelid

The area is looked at under different lights and expressions to tell shadow from pigment and rule out bags.
Medical history and decision

We review medical history, medication and allergies. This is where it is decided whether filler is indicated or not.
Marking the entry points

One or two points per side are marked and the path of the cannula is planned.
Disinfection and topical anaesthetic

The area is cleaned and anaesthetic cream is applied. The eyelid is delicate and we work without rushing.
Deep deposit of the product

We advance with a cannula and deposit very little, resting on the bone, without coming too close to the surface.
Checking and gentle pressure

It is distributed with gentle pressure, one side is compared with the other and local cold is applied.
Review at 3 weeks

It is assessed once the swelling has gone. If anything needs refining, it is done with a minimal amount.

What changes when the shadow is filled

Less shadow under the eye
A smoother transition between eyelid and cheekbone
A brighter gaze without changing the expression
A better appearance in photos with front lighting
Less contrast at the end of the day
Resorbable, reversible material
No surgery, no stitches and no time off
A result that can be assessed within a few days

Care before and after

Before the session

Tell us if you take anticoagulants, antiplatelet drugs or anti-inflammatories
Tell us if you have had thyroid or kidney problems or significant allergies
Avoid alcohol and excess salt the day before
Come with no creams or make-up on the eye contour
Do not book it just before a trip or an important event

The following days

Do not press or rub the eyelid for the first few hours
Gentle local cold if you feel swelling, without pressing
Sleep with your head slightly raised for the first two nights
Avoid intense exercise, sauna and heat for 48 hours
Go easy on salt so as not to retain fluid in the area
Daily sun protection on the eye contour

In the lower eyelid what is to be expected is some swelling and the possibility of a small bruise, because it is a very vascularised area: it resolves within a few days. What is really assessed is the result after 2 or 3 weeks. If you feel pain that is increasing, a change in skin colour or any change in vision, get in touch with us immediately.

Frequently asked questions

Does it work for any type of dark circle?

No, and it is the most important question. It works when the dark circle is a shadow caused by hollowing of the tear trough. If the problem is pigment or vessels, the approach is a different one, and if there are bags or excess skin, filling is not the solution. The assessment decides.

Does injecting so close to the eye hurt?

Less than it seems. Anaesthetic cream is applied, in most cases we work with a cannula and the product usually contains a local anaesthetic. You feel pressure more than a prick.

How long does the result last?

In this area it is usually between 8 and 12 months, and in some cases longer, because it is an area of little movement. It depends on the product, the amount and your metabolism.

Can it end up swollen or with a bluish tone?

They are the two effects we watch for. If too much product is used, or it is placed too superficially, persistent swelling or a bluish reflection can remain. That is why a small amount is used, in a deep plane and in phases.

Can it be removed if I do not like it?

Yes. Hyaluronic acid is reabsorbable and, if needed, can be dissolved with a specific medical treatment. It is one of the reasons this material is chosen in such a visible area.

How many sessions do I need?

Usually one, with a later review. With very deep troughs we prefer to split it over two sessions a few weeks apart rather than forcing all the volume at once.

Can I go to work afterwards?

Yes. There may be some swelling or a red mark for the first few hours. If you are worried about it showing, leave a couple of days' margin before an important meeting.

Are there cases where it is not done?

Yes. It is not injected with an infection or an open wound in the area, nor over uncontrolled eye or skin conditions, and it is assessed with particular care in pregnancy, breastfeeding, autoimmune conditions and anticoagulant treatment. It is decided in the consultation, never over the phone.