Is Tear Trough Filler the right treatment for you?

1) How do patients commonly present to us?

Do you feel as though you look constantly tired and exhausted due to the sunken shadows and hollowness under the eyes? And no matter how much you sleep, hydrate yourself and use under eye creams, nothing seems to work? Well tear trough filler may be the answer to your problems!

2) What actually is a tear trough?

The tear trough is the indentation that sits in between the lower eye lid and the cheek. This hollowness develops overtime as a result of volume loss and bone resorption, due to the effects of ageing. The loss of volume under the eyes also gives the appearance of dark circles as light reflects off the face in different angles creating a shadowing effect. This becomes worse with age.

Tear trough filler can be safely injected to restore lost volume, which instantly brightens and rejuvenates the physical hollowness. The low-density filler is able to diffuse into the space, creating a plumping effect which enables the skin to be supported more firmly reducing the appearance of dark shadows and fine lines.

Cheek filler is often needed in conjunction with tear trough filler, as this acts as an important support for the midface. The overall effect of these treatments is a more rejuvenated and refreshed looking mid face which frames the eyes beautifully.

3) How do we assess your tear trough?

During your bespoke consultation at Surgicare Aesthetics our doctors all use the Lambros criteria to assess whether tear trough filler is the correct treatment modality for you.

Below outlines the criteria’s used to assess the tear troughs:

1. Definition of the hollow

A more defined hollow is more amenable to filler treatment

2. The orbital fat pad

If you suffer with excess fat around the lower eyes giving a “puffy eye” then tear trough filler may not be the best option, Morpheus8 or a surgical procedure called a blepharoplasty maybe a better fit, your doctor will be able to advise.

3. Skin quality

Firm and more elastic skin supports the filler better than thin or loose skin. Therefore, if you suffer with thin skin around the eyes then you will not be suitable for tear trough filler and possibly other treatments such as Morpheus8 may be more beneficial as this can tighten and rejuvenate the skin.

4. Pigmentation

Tear troughs are one factor that contribute to dark shadows under the eyes, however other factors such as lack of sleep, hydration, lifestyle, genetics and skin pigmentation can also play a part. If dark circles are caused by skin pigmentation, then tear trough filler will not correct this and other treatments such as medical grade skin care such as ZO may be better options or used in conjunction.

4) What are the side effects?

Tear trough filler is administered using a blunted instrument called a cannula. This has many benefits as it ensures filler is administered in a safe and controlled manner. The use of a cannula also minimises the effects of bruising as there is one entry point as opposed to using a needle which involves several entry points.

Common side effects include a sensation of ‘pulling and tugging’ during the procedure, swelling and bruising. The majority of swelling is very minimal, not obvious to the naked eyed, and will settle within 2 weeks once the filler has integrated into your normal tissue. After your procedure the post-operative care will be discussed in detail, followed up with a written copy

5) How long does tear trough filler last?

After the procedure the under eyes will appear fuller and brighter, however the full effects can take a couple of weeks to show, as it takes time for the filler to fully integrate into the deeper tissues. Tear trough filler can last 9-18 months, however this varies between individuals depending on their metabolism and lifestyle factors.

6) Are you suitable for tear trough filler?

We recommend you seek expert advice from one of our doctors to see if you are suitable. We believe in honesty and integrity and commonly will say no or provide alternative recommendations to patients if we think you are not the right candidate for tear trough filler. If you are interested in this treatment, please book a consultation with one of our doctors who advise you appropriately on your treatment needs.

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What are the most common questions about Morpheus8?

1) How does Morpheus8 work?

Morpheus8 combines micro needling with FDA approved fractional radiofrequency. Morpheus8 technology uses pins (up to 5mm) to penetrate the subdermal tissue, creating a localised tissue response. Part of this response stimulates the production of collagen and elastin fibres which regenerates and tightens the skin, giving a more radiant youthful appearance. In addition, the heat delivered from the tip of the pins causes fat coagulation and contraction leading to fat recontouring.  This overall treatment targets fine lines & wrinkles, acne scars, improves skin tone and texture. Unlike some non-surgical cosmetic procedures, Morpheus8 works well on all skin tones with minimal risk of post inflammatory pigmentation.

2) What areas can Morpheus8 treat?

Radiofrequency micro-needling with Morpheus8 is bespoke to individuals, as this technology uses four different tips which penetrate and deliver energy at different depths. This technology enables these tips to be used in different treatment areas to target deep fat layers and resurface and tighten more superficial layers of the skin.

The following problem areas can be targeted with Morpheus8: 

 

• Sagging skin on the lower face, jawline, neck and body
• Jowls underneath the chin and jaw creating a more defined jaw line
• Fine lines, wrinkles and creases on the lower face and neck
• Prominent forehead lines
• Excess fat under the chin
• Reduce pore size
• Stretch marks
• Reducing acne scars
• Dull and uneven complexion
• Loose or lax skin anywhere on the body

3) What is involved during the treatment?

Initially topical local anaesthetic will be applied to the treatment area of concern for approximately 45- 60 minutes. This process is crucial to ensure you are comfortable during the delivery of the procedure. You may experience slight pricking sensation from the microneedles this is due to the action of the pins penetrating and delivering heat into the subdermal tissues. Overall, Morpheus8 treatments are very well-tolerated, and most patients describe the sensation similar to plucking your eyebrows. On average, the entire procedure can last 15 minutes up to an hour, depending on the size and number of areas being treated.

4) What aftercare is involved with Morpheus8?

The greatest advantage of Morpheus8 is the minimal downtime. Many of our patients can resume their daily routines the next day after treatment. However, based on the level of treatment and your individual skin type you could experience swelling, redness and bruising, which is self-limiting and usually resolves within a week. It is advised to avoid direct sun light exposure for four weeks after the treatment and makeup should be avoided for 48-72 hours. One of our doctors will discuss and give a full description of our post treatment care tips to aid in your recovery.

5) How many Morpheus8 sessions are required?

Sessions required can vary depending on each individual’s requirement, however routinely we recommend three consecutive sessions of Morpheus8 spaced 4-6 weeks apart to achieve the maximum benefit. After that, maintenance is recommended with one session every 12-18 months.

Your doctor will create a treatment plan for you during your initial consultation at our London Barnet and Marylebone clinics.

6) How quickly are results seen with Morpheus8?

As Morpheus8 creates localised trauma which stimulates natural collagen production, results will take time to mature. You may notice a difference almost immediately, but results will continue to improve up to 3 months after treatment. To achieve the best results, we recommend maintaining intervals between each session at 4-6 weeks apart.

7) How much do Morpheus8 treatments cost at our clinics?

Our morpheus8 sessions start from £350-£900 for one session. Discounts are applied when purchasing a package of 3 sessions per body area. Please visit our price page for further details.

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12 skin care tips to prepare for Christmas

1) SP50

Daily SP50 keeps the wrinkles at bay…even in the winter!

2) How to tackle central heating

Counteract the effects of central heating sapping your skin of moisture by maintaining regular skin moisturiser

3) Prohilo

Profhilo is the most effective and long lasting injectable (6 months) hydrating moisturiser to combat dry skin, containing 64mg of hyaluronic acid.

4) Drink plenty of water

Maintain a minimum of 2L of water per day. Consider a marked water flask if you require regular reminder.

5) Make up removal

With the party season in full swing, make sure you remove your make up every evening 

6) Plan Morpheus8

With the sun at bay, it is the perfect time to plan your Morpheus8 sessions without worrying about exposing your skin to UV radiation

7) Anti-wrinkle treatment planning

Plan your anti-wrinkle treatment 2 weeks prior to Christmas to achieve optimal results

8) Alcohol consumption after treatments

Avoid alcohol consumption on the day of your injectable treatments to minimise the risk of bruising 

9) Suffering with tired eyes?

Lack of sleep, poor water hydration, multiple young children? A familiar story with many of our regular patients. Consider tear trough filler to have a peri-orbital rejuvenation 

10) Hydrate your Lips

It is not just your skin and hair that come with a dehydration warning, your lips can also suffer in cold conditions. Lip fillers not only plump and define, they also hydrate and soften your lips. 

11) Balance your lifestyle with regular exercise

Continue to maintain a regular exercise regime to reinvigorate your mind and body 

12) Enjoy Christmas

Hormone changes that take place when we’re stressed are thought to contribute to inflammation, wrinkle formation, breakouts and exacerbate skin conditions. Relax, unwind and enjoy yourself this Christmas!

Find out how we can help you achieve beautiful skin

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