Tear trough (under-eye hollow) gives tired appearance even when rested. HA fillers like Restylane and Belotero Balance restore volume. Most technique-sensitive facial area — requires advanced expertise. Effect: 9-12 months.
1. Anatomy
Tear trough = depression at infraorbital rim. Caused by ligamentous attachments, fat compartment loss, skin thinning.
2. HA Brands for Under-Eye
Restylane (classic, hydrophilic-low), Belotero Balance (soft integration), Teosyal Redensity II (low hydrophilic — minimizes swelling).
3. Why So Difficult
Thin skin shows everything. Tyndall effect risk (bluish hue). Edema risk. Vascular complications possible.
4. Cannula Technique
Cannula essential for safety. Deep supraperiosteal placement. Small volumes.
5. Volume
0.5-1.0 mL total bilateral. Conservative — under-correction better than over-correction.
6. Procedure
30-45 min. Topical numbing. Single entry point per side.
7. Recovery
Mild swelling 3-7 days. Bruising possible — pre-treatment with arnica.
8. Tyndall Effect
Bluish discoloration if filler too superficial. Why deep technique critical.
9. Candidate Selection
Best: mild-moderate hollow, good skin quality. Not for: festoons, malar bags, severe pseudoherniated fat.
10. Why Veneta
Op. Dr. Atakan Baş — TPRECD plastic surgeon, periorbital anatomy expertise.
11. FAQ
Painful?
Topical numbing tolerable.
How long?
9-12 months. Some report 18+ months.
Tyndall risk?
With proper deep technique, low.
Reversible?
Yes, hyalase.
Will I look younger?
Rested, refreshed — not necessarily younger.
Pregnancy?
Contraindicated.
Sessions?
Often 1. Stage 2 sessions safer.
Bags vs hollows?
Different problem — filler fixes hollows not bags.
Tear Trough Consultation
Op. Dr. Atakan Baş offers safe under-eye treatment: