Tear Trough fillers


before after Tear trough fillers

The area under the eyes is a common cosmetic concern. Issues in this area are often associated with looking tired. If you have dark circles under your eyes, you’ve undoubtedly tried every brightening cream but have not found the fix; this non-surgical treatment is for you. Tear troughs can be treated with dermal fillers, which help disguise eye bags and smooth the transition between the lower eyelid and the cheek that can last six months to a year.


What are tear troughs?

Tear troughs are the hollows between the lower eyelid and the cheeks. In many cases, tear troughs are genetic rather than a result of aging and often appear even in the teenage years. Tear troughs can be corrected by injecting dermal filler directly in the groove between the lower eyelid and cheek. This lifts the tear trough to the lower eyelid and cheek level, smoothing the area’s appearance. Normally the type of filler used is hyaluronic acid filler, such as Restylane, Belotero, and Juvederm. In this case, Juvederm Volbella filler was used as it is the thinnest filler on the market. Hyaluronic acid is a compound that your body makes naturally, so it’s unlikely to cause bad reactions, but it does degrade over time, meaning that your fillers are temporary.

Case study 1053

A female in her mid 40’s came in with concerns regarding her tear troughs (under eyes). She had hollowness and black shadows surrounding this area due to weight loss. After carefully reviewing her options and keeping her medical history in mind, we decided to proceed with Juvederm Volbella fillers by using a blunt cannula allowing the needle to pass through, requiring only one poke. This procedure was done in under 15 minutes, including the numbing cream application.

The procedure of tear trough fillers

We used a blunt cannula to allow the needle to go through smoothly. You may feel a slight poke, almost like a pinch, during the injection of the tear trough fillers. To minimize bruising and swelling, we used the chiller after the procedure.


The cost of this procedure varies depending on how much filler is needed. In this case study, we used one syringe of filler. Therefore, the price was $750.00 plus tax.

Side effects

The main side effects of tear trough fllers are bruising and swelling, which lasts up to 4-5 days but varies with each person, depending on their skin type.


Inserted below are before and after pictures that were taken two weeks apart. You can see an immediate change right after the procedure, and they only get better over the next two weeks.

before Tear trough fillers After Tear trough fillers

About the Author

Kamal Alhallak, Ph.D. in Pharmacy, MBA

Dr. Alhallak has established himself as a leading figure in the field of cosmetics and aesthetics, notably in the Canadian healthcare industry. In 2016, he established the Albany Cosmetic and Laser Center, which offers patients cutting-edge procedures such as laser skin resurfacing, IPL photofacials, neurotoxic and dermal fillers, and more. Because of its mix of cutting-edge technology and individualised attention from Dr. Alhallak, the facility has become one of Alberta's most popular places for aesthetic care and laser research. Dr. Alhallak was designated one of the Top 100 Healthcare Leaders by the International Forum for Advancement in Healthcare (IFAH) in 2021.

You can order our book entitled “The Ultimate Guide for Laser and Ipl in the Aesthetic Field” from Springer website and Amazon. This Book is authored by the health professional team including: Dr. Kamal Alhallak, Dr. Salem Tomi, Dr. Adel Abdulhafid, R.N. Dima Omran.


This case study is based on the personal experience of one patient and is not intended to represent typical results. Individual results may vary, and the treatment results depicted in this case study are not guaranteed. The information provided in this case study is not a substitute for a consultation with a licensed healthcare provider, and it is important to understand that results vary from person to person. Before undergoing any cosmetic treatment, it is important to speak with a licensed healthcare provider to understand the potential risks, benefits, and results.

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