08/15/2025
Beautiful PDGF and PRP results.
There are 6 main issues to look at when considering treatment for the under eye area.
1. Skin discoloration-
Many people have darker skin under their eye. When paired with a volume deficit and vascular show it will worsen how the appearance of the tear-trough. For skin discoloratioin you may see some benefit from certain medical grade skin lightening treatments. However, the biggest improvement will be seen from thickening the tissue
2. Vascular/muscle show- We have a lot of small vessels under our eye and that can give off a blue or purple tint, making skin discoloration or a volume deficit look worse. Unfortunately, we can not get rid of these vessels because they supply your tissue with blood and so the solution is to thicken the actual tissue with collagen producing therapies to hide the visibility of the vessels.
3. fat pad herniation- The Gold Standard for mending this issue would be surgical correction with lower blepharoplasty. We have no shame in not being able to provide every treatment. It’s important to know our limitations and ultimately get patients the best result.
4. Thin skin- This is present in almost every case. When your tissue is thick enough it can mask a volume defecit and hide vasculature. It will also make you a better candidate for tear trough filler. Unfortuanately, this is not helped with surgery and even after surgery you will need collagen stimulation treatments
5. volume deficit- When there is a volume defecit, the solution is to add volume with either collagen stimulation, filler or fat grafting (surgical). Most people are not candidates for filler and we rarely advise for filler under the eyes.
6. Bad filler- Filler is made of Hyaluronic Acid which can pull in water. This can cause lymphatic conjestion, tyndalling (a blueish discoloration), and worsening of the tear trough, with time. For this reason we will only place filler in patients who are the right candidate. We are also very conservative with the amount and type of filler used. We have also developed a signature technique to prevent all of the problems discusssed above.
Book a tear trough consul to see how you can improve yours.
