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What is TearFill (Restylane)?


Restylane is a brand of hyaluronic acid-based gel facial filler used for various cosmetic needs. Hyaluronic acid is a type of sugar found naturally in your skin. Its primary function is to absorb water, supply nutrients and act as a cushioning agent. Once injected, it acts like a sponge and expands as well as inducing the production of collagen. Therefore, here at Clinica, we use TearFill to plump out sunken areas and fill out hollows in the tear trough area.

What does TearFill ™ treat and what are the benefits?

TearFill (Restylane) treats patients with deep tear trough hollows in the under-eye area. This can make them look very tired, aged and as if they have not had enough sleep and rest. It can also be used to treat wrinkles and lost volume in the eye and its surrounding areas.

One of the main benefits of this treatment are immediate results. Unlike other cosmetic surgery types, TearFill end result is evident straight after the procedure and doesn’t take a few days or weeks to notice the change. The results give the patient a more youthful appearance and a healthy complexion.

Why do tear troughs develop?

The natural depression that goes from your nose to under your eyes forms a line that curves under your eye socket is referred to as your ‘tear trough’ – this is the area where your tears are collected.

Tear troughs develop because of the natural ageing process. As you age, your skin loses its natural elasticity and starts to sag, as well as this, your skull changes shape and your cheekbones becoming smaller – all these factors cause the tear trough area to become hollow and develop dark circles. Additionally, the fibrous portion of your eyelids that acts a membrane-like sheet surrounding the eye increasingly becomes weaker. This means you have less support around your eyes, and the skin in the surrounding area ultimately becomes thinner.

Tear troughs can also develop due to genetics, so whether you are predisposed to developing them in your early twenties will be dependant on your genes. If this is a cause for concern, then TearFill can be a non-invasive treatment option you want to consider for improving the appearance of tear troughs. It will make the eye hollows less obvious and create a smoother transition between your under eyes and your cheeks – giving you a youthful and rejuvenated look.

How does TearFill treatment work?

TearFill treatments are typically fast and relatively painless. At Clinica London, the oculoplastic doctors treat tear trough hollows and dark circles under the eyes with hyaluronic acid (HA) gel delivered into the tear trough area and upper cheek eyelid junction via a tiny entry point on each side of the face remote from the eye area. A fine cannula is used, occasionally aided by tiny direct injection. This reduces the risk of bruising and greatly diminishes discomfort. This procedure does not take long, and approximately takes 15 to 45 minutes to be completed.

What results can you expect from TearFill treatment?

We gently introduce the gel to give a natural refreshed look. This technique is minimally invasive and is done by eye doctors skilled in anatomy and surgery around the eyes, and trained in oculoplastic procedures and surgery.

If you are considering TearFill treatment, you can see our prices for treatment and consultation.

How long do Tearfill treatment last?

There is no definitive answer to this question as the results vary from person to person, the typical time most patients retain results average anywhere from 9-12 months. Absorption varies from person to person, and TearFill treatment takes the body longer to break up as there is generally not much movement in this place. Tear trough fillers are generally longer lasting compared to fillers injected in other areas of your face, and it is only when the hollow becomes more pronounced should you consider coming back in for a top-up. Other factors such as skin type, muscle activity, lifestyle and age will impact how long the results last.

Does TearFill treatment hurt?

TearFill treatment is not generally reported to be very painful, although the sensation of the injections can cause discomfort, the pain is minimal. Many patients report that the treatment is less painful than they expected.

A topical anaesthetic is often used to ensure that the injections do not cause any major discomfort or pain for the patient, in most cases the injection themselves also contain an anaesthetic – helping the TearFill treatment be more comfortable.

When will I see a result of TearFill treatment?

Unlike other aesthetic treatments, Tearfill results are immediate. The end result is evident straight after the procedure, and you won’t have to take time off work or stay home straight after the procedure. A follow-up appointment may be necessary after two weeks to assess whether it needs to redone or reduced.

What are the side effects and downtime of Tearfill?

Tearfill treatment requires very little downtime. The side effects associated with this treatment are also very minimal, and when they do occur, it appears around the injection site, and the symptoms may include temporary redness, tenderness, swelling, or bruising. It’s been found that patients under 36 years old experience swelling, and patients over 35 years old experience bruising. The temporary bruising can be concealed by makeup.

In very rare cases, small bumps may appear under the skin at the injection area. If they are still present after a week, consult your doctor.

Who are the ideal candidates for TearFill treatment?

Tear trough treatments are quite common for those in their 30s to 40s as the signs of ageing start taking effect, however, there are patients as young as 20 who are genetically predisposed to deep tear troughs and experiencing early signs of ageing. Ideal candidates for this procedure are anyone who is in good health, and who understands the process and has realistic expectations of the results of the treatment.

Here at Clinica, we will have a discussion of your desired results in the initial consultation to ensure that a personalised treatment plan is developed. We will also review your medical history and assess your skin and the areas of concern.

Who shouldn’t get TearFill treatment?

Although this treatment is non-invasive and very straight forward it is not recommended for pregnant women, women who are breastfeeding, if you have an active infection at or around the injection area, and if you are allergic to any of the products that are used in the treatment. Consulting your doctor or the specialist surgeon prior, to discuss whether you are a suitable candidate, is the best practice to discuss any concerns.


Read about TearFill.

Miss Jane Olver

Consultant Ophthalmic Surgeon
Oculoplastic (Eyelid) & Lacrimal Specialist
Medical Director

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