What Are The Side Effects of Tear Trough Fillers?

As people get older, more signs of aging develop on their faces. This happens to everyone and is a natural part of aging. However, it can make people feel conscious about their appearance as they can appear older than they really are. Many aesthetic treatments can reduce these signs of aging, but it’s important to do your research and weigh the side effects that can come from these treatments.

So what are the side effects that come with getting tear trough fillers? Some common side effects include headache, pain on the injection site, bruising, swelling, redness, itching, irritation, and skin discoloration. For the most part, side effects are minor and can fade within 2 weeks after treatment. There are some serious side effects, but these can be avoided by choosing the right dermal filler provider and taking good care of your skin.

Learn More: The Side Effects of Dermal Fillers

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Side Effects of Tear Trough Fillers

Some of the possible side effects of getting dermal fillers to treat your tear troughs include:

  • Headache
  • Pain on the injection site
  • Bruising, swelling, and redness
  • Itching and irritation
  • Skin discoloration

These are minor side effects that can go away on their own within the first 2 weeks after your dermal filler injection.

Most of these effects are the result of the injection process. When a needle enters your skin, it damages tissue (especially duller needles that need more force to penetrate your skin). Dermal fillers are only intradermal injections, so they don’t go beyond the dermis layer. However, it is still possible to damage skin tissue and capillaries. 

Bruising is also the result of the needle damaging your capillaries, and the discoloration is the blood leaking that’s trapped underneath the surface. The swelling, redness, itching, and irritation can also be attributed to your body’s inflammatory response. Even after the needle leaves, your body detects an outside element entering your body, and inflammation is its way of killing any bacteria that could enter.

Although the effects can be uncomfortable or unsightly, these usually go away in a matter of days or up to two weeks. If the pain or discomfort is distracting, you can use over-the-counter pain relievers or use a cold compress to reduce the pain and constrict your broken blood vessels. You may also use home remedies for pain, bruising, and irritation, but these can have varying effectiveness. Because these effects are very minor, you don’t need medical attention for these symptoms.

Learn More: Are Fillers a Risk Factor for  Autoimmune Reactions?

When to See Your Doctor

Less common side effects that may need you to seek medical attention include:

  • Any minor symptom that lasts longer than two weeks – minor side effects may become serious if it lasts beyond two weeks after your injection. 
  • Lumps or bumps around the eyes – this is a less common side effect that can be caused either by bruises (which can be treated with cold packs) or your provider not administering an even deposit around your eyes. This can also be caused by the product moving, especially if you massage or press the filler excessively after your injection. This isn’t serious and can be resolved in time, but it can affect the quality of your results.
  • Skin infections – this can happen if the injection site was not properly sterilized before administering dermal fillers. This can also develop if you receive dermal fillers while you have an active skin infection on or near your treatment area. Prior to your injection, you should always disclose if you have an active skin infection like acne, eczema, or psoriasis, and whether or not you’re taking medication to treat these. If you do, you’ll need to reschedule your dermal fillers after these conditions are fully treated. To treat skin infections caused by your dermal filler treatment, consult with a healthcare provider. Your doctor may prescribe topical or oral antibiotics to treat your infection.
  • Allergic reaction – during your initial consultation, your provider should check if you have a history of adverse allergic reactions or any allergies to ingredients found in different dermal filler types. In case you see symptoms of an adverse allergic reaction, get emergency care immediately. Your provider may recommend either changing your dermal filler type or stopping the treatment and opting for another aesthetic treatment that can treat tear troughs.
  • Blurred vision, or partial vision loss – this is a very rare occurrence that can happen if your provider injects dermal filler into an artery near your eye. That’s why you need a highly-skilled dermal filler provider to treat your tear troughs, since they’re just right below your lower eyelid.

How DoTear Trough Fillers Work?

Tear troughs are the deep curved creases you can find below your inner lower eyelid and above your cheeks. These creases can emphasize the texture around your eyes and leave a shadow or dark circles under your eyes, which can make you look more tired and older than you really are. 

Tear trough fillers are injected into the under-eye areas near the tear trough region. The filler increases volume, reduces its depth, and makes the area look fuller and your skin tighter. The treatment is minimally invasive and the results appear instantly, though it can take several days for the dermal filler to fully set. Depending on the dermal filler material used, how long it lasts on your face can vary.


Tear troughs appear in many adults. For some, tear troughs can be inherited, so even young adults may see tear troughs. Others, however, develop tear troughs with age. As you get older, your facial skin starts to lose facial fat. This can create a crease in that area, which in turn can create a shadow and give the appearance of dark circles under your eyes.

By injecting eye fillers into the area, the added volume can smoothen out the crease and give you the appearance of fullness and restored facial fat. In turn, this can reduce the lines and erase the dark circles your crease creates, giving you a rejuvenated and fresh appearance. 

Should I Get Tear Trough Fillers?

Tear trough fillers are safe, but it’s important to know what you’re getting into before committing to your first injection. During your initial consultation, your provider can recommend which dermal filler material is best for you based on your allergies and beauty goals. You can get either natural or synthetic injectable filler types that your provider recommends, including:

  • Hyaluronic acid (Juvéderm)
  • Polylactic acid (Sculptra)
  • Polymethyl-methacrylate microspheres (Bellafill)
  • Calcium hydroxylapatite (Radiesse)

Like other types of dermal filler procedures, tear trough filler treatments come with many advantages. Depending on the type of filler you get, its effectiveness can range from 6 months (hyaluronic acid fillers) to several years (Polymethyl-methacrylate microspheres). It’s also possible to use autologous dermal filler material like your own fat for a permanent dermal filler.

Unlike some treatments that take weeks or multiple sessions to show visible results, fillers show added volume instantly. Dermal filler treatments take less than an hour, are minimally invasive, can be done on any skin type or skin color, and don’t need a recovery period. A numbing cream can be used to minimize the pain of the injection. You may feel some discomfort after, but as long as you’re getting your fillers done by a qualified and experienced provider and taking steps to care for your skin, the chances of adverse effects are low.

If you’re considering getting tear trough fillers, you should weigh these benefits with some of their downsides. We’ve already talked about the side effects of tear trough fillers, so you already know that it’s possible to experience pain and discomfort after your dermal filler injections. And you should also take care to get fillers from experienced professionals to avoid adverse effects.

Commercial dermal filler products aren’t permanent. Depending on the filler material you get, the effects will eventually start to wear off and you will need treatment sessions for maintenance.

Read More: What Are the Side Effects of Juvéderm Fillers?

Alternatives to Tear Trough Fillers

The only other cosmetic procedure that can treat tear troughs is fat grafting, which is also known as fat injections or autologous fat dermal fillers. Tear trough fillers are generally caused by loss of volume (or for those who inherited their tear troughs, never had enough facial fat in that area in the first place), and the only way to effectively treat this crease is by restoring volume.

Contrary to what some blogs may say, Botox (or any other botulinum toxin injection) cannot treat tear troughs. Tear troughs aren’t caused by muscle movement, and botulinum toxin injections can only treat the appearance of wrinkles caused by muscle movement. Laser skin resurfacing is also not effective. While it can promote tighter and healthier skin, it can’t add or replace volume. The same goes for more invasive cosmetic procedures like facelifts, which can only remove excess skin but not fill in the lost volume.

Fat injections or fat grafting is the process of extracting fat from other parts of your body through liposuction, processing the fat to remove any unwanted particles and convert it into a filler, and then injecting it around your tear troughs.

Compared to dermal filler injections, fat injections last longer and don’t require maintenance treatments, but it’s more invasive (requires a liposuction surgical procedure from a plastic surgeon to extract healthy fat, and not non-invasive liposuction alternatives that destroy fat cells). This treatment is also much more expensive than dermal fillers. However, because you’re using your own fat as a filler, the risk of an allergic reaction is virtually low. Dermal fillers, on the other hand, are minimally invasive and affordable, but the results are temporary and you will have to get maintenance treatments to sustain the effects.

Who Should (or Shouldn’t) Receive Tear Trough Fillers?

Any adult who has signs of tear troughs can get dermal fillers to add or restore volume. However, some people may not be a good candidate for tear trough fillers. Different dermal filler brands have their own restrictions on who can’t receive filler injections, but generally, these are people who:

  • Are currently breastfeeding or pregnant
  • Have an allergy to any ingredient found in any dermal filler
  • Have a history of allergies that resulted in adverse effects and difficulty breathing
  • Have a bleeding disorder
  • Have an active skin infection
  • Are planning to have other aesthetic treatments that conflicts with the effects of dermal fillers (such as laser skin resurfacing or chemical peels)

Your provider should go through this during your initial consultation to see if tear trough fillers are the right option for you. Your provider must also recommend which filler type is best for you.

Say Goodbye to Tired-Looking Eyes With Aesthetica

man getting tear trough dermal fillers by a medical doctor

Like many aesthetic treatments, tear trough fillers have several side effects. But given that it’s the faster and minimally invasive option that can effectively treat these creases, it’s a treatment worth looking into if you want to erase the cause of tired-looking eyes that can make you look older.

At Aesthetica, we give our patients the treatments to rejuvenate their appearance and start their journey towards their beauty goals. Our team of experts use only the best techniques and innovations in the industry. We’ve left countless satisfied customers looking and feeling their best after getting our treatments. It’s time you did too. Book an appointment with us today.

Discover Your Beauty Potential with Aesthetica

Aesthetica can assist you with all your beauty needs, helping you achieve your maximum beauty and aesthetic potential. Call or contact us today to learn more about our cosmetic services.

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