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Tear Trough

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Tear Trough / Dark Under Eye Treatment in Vancouver

One of the first places to start aging is the area beneath the eyes. Collagen levels begin to decline with time, which causes the skin to lose volume and sag. The body’s most prevalent protein, collagen, is responsible for giving tissues their structure and suppleness. But it also has a significant impact on the moisture and suppleness of the skin on the face and body, keeping it plump and firm.

The under-eye area starts to seem hollow and sunken as collagen is lost, casting a deep shadow that gives the appearance of dark circles. In fact, holding a mirror in front of your face in a well-lit area and looking up is an excellent technique to determine if you are having under eye volume loss; if the shadow under your eyes fades, the dark circles are likely caused by volume loss and can be treated with dermal fillers. If it persists, it can be brought on by skin hyperpigmentation, in which case you might benefit from a different therapy.

What are Tear Trough Fillers?

An injectable treatment called a tear trough filler adds volume and helps with wrinkles and dark circles around the eyes. Hyaluronic acid is usually a part of the filler. Hyaluronic acid is a naturally occurring gel-like substance that moisturizes and plumps the skin and gives it a youthful, healthy appearance. Tear trough filler targets aging under eye circles and brightens the face by restoring fullness. When injected beneath the eyes, hyaluronic acid-based fillers increase fullness and minimize indentations.

Are You a Good Candidate for Under Eye Filler?

You may be a good candidate for natural injectable fillers under the eyes if you have the following problems:

  • You are in generally good health
  • Have concerns about sunken or hollow under eyes
  • Your eyes look tired due to volume loss or genetics
  • Have an under-eye deformity, including a deep crease between your lower lid and upper cheek (tear trough)
  • Dark circles with additional shadows from under eye volume loss
  • A hollow look under eyes or tear trough area or “deep-set eyes”
  • Good skin elasticity and thickness
  • A well-placed inferior orbital rim (bones above the cheekbones and under the eye)
  • Any under eye depression due to aging, rapid weight loss, or genetics


A consultation with our skilled nurse injector will precede your under-eye filler session so you may talk about your concerns, goals, and suitability for the procedure. After you’ve settled in one of our treatment rooms, we’ll use a topical anesthetic to numb any discomfort you might have during the injections.

Our Approach To Fillers

At Pacific Plastic Surgery Group we approach dermal fillers with the understanding that every patient has their own aesthetic journey. Your concerns, suggestions, and goals will be heard by us. Your lifestyle and beauty preferences will be reflected in the unique treatment plan we develop with you.

While we will always be up-to-date on aesthetic filler trends, we treat patients with an underpinning of science, prudence, and trusted safe injection practices. All of our providers are constantly trained on up-to-date injection techniques and best practices.

We take great pride in being able to provide products approved by the Health Canada for dermal filler injections in Vancouver and the lower Mainland. Pacific Plastic Surgery Group is ideal for patients seeking customized, advanced and tasteful dermal fillers to look and feel their best!

All of our injectable treatments, including Lip Fillers, are administered by trained, certified and registered medical professionals with years of experience in the medical aesthetics field.


  • How long does under eye filler last?

    Tear trough filler can last up to one year.

  • Is under eye filler safe?

    Yes, in the hands of an experienced provider, tear trough filler can be a safe and effective solution for restoring volume to the under-eye area.

  • Are tear-trough fillers painful?

    The injections are applied under local anesthesia, so they shouldn’t cause any pain. You may feel mild discomfort for a day or two after the procedure, which can be easily managed with over-the-counter pain medications and cold compresses.

  • Can under eye filler be dissolved?

    Yes, under-eye fillers can be dissolved with a substance called hyaluronidase.

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