What is a Tear Trough/ Under Eye? 

One of the most sought-after treatments in aesthetics currently is tear trough rejuvenation; this is a non-surgical treatment for patients to help mask the appearance of dark circles or hollowing. We call this dark under eye area the tear trough. 

 What area is Midface/Cheek?  

Our faces are sectioned into thirds. The middle 1/3 of your face, which spans from the infra-orbital rim to the upper lip is what is called the midface. When the providers at La Chelé are analyzing this area, the most significant feature is the zygomatic arch, maxilla, and the fat pads surrounding the infraorbital rim. As we mature, we start to see a decrease in this bony arch support. The loss of support can cause the infraorbital fat pads to look hollower or even herniated. Mid face volume loss results in sagging of the midface, which will produce a prominent nasolabial crease. We at La Chelé know that volume loss in our midface region can cause us to look tired and aged. Our providers are here to help you feel refreshed by restoring that volume. 

What treatment is used for Tear Trough/ Midface?  

Since the root cause of aging in the midface is volume loss, we replace that with reversable Hyaluronic Acid fillers. The most common fillers we use in this area are Voluma and Restylane Lyft.

How much Product do I need? 

The amount of product needed is decided during assessment by your provider and the degree of volume loss is different for every patient. FDA studies with HA fillers that 1-2 syringes per cheek is the average amount required to achieve desired result.  

Who does the Injections? 

The injectors here La Chelé are hand-picked by our medical director and national trainer, Dr. Lisa Espinoza. Our injectors have dedicated their lives to the art and mastery of injecting. Continued training and education are a huge part of our philosophy here at La Chelé and allows us to stay on the cutting edge of injection techniques. What really sets La Chelé apart from other med spas is our highly skilled team.  

Is it painful and will I bruise? 

When injecting any hyaluronic acid filler, there is a small amount of lidocaine in the product. This is an anesthetic which makes it more comfortable as you are injected. These treatments have minimal pain associated with them therefore topical numbing is not required. When injecting anywhere in the face, there is always a risk for bruising. We advise patients to discontinue the use of alcohol, Motrin, aspirin, and blood thinners if approved by your doctor 7 days before any procedure.  We use both needle and cannula to best assist in patient comfort and bruising. 

Will Tear Trough filler help with Hyperpigmentation? 

If there is a true hollowing in the tear trough, correction of the under eye with an HA filler can result in a lighter appearance. However, if hyperpigmentation is your main concern, HA fillers are unlikely to correct the darkness.

How long does it last?

Filler can last anywhere from 6-18 months in this area. There are many variables that come into play when assessing how long filler will last on a patient. A patient’s lifestyle, metabolism, and product choice used are all factors that can affect the longevity of filler.

What can I expect after the Filler? 

When receiving filler, it is always best to plan for one to two weeks of downtime. When healing from filler, you can expect the area to be bumpy, lumpy, tender, swollen, red, and possibly bruised. It is advised though that if you are experiencing any abnormal pain or symptoms outside of what is described above, that you call your medical provider right away. All HA fillers used at La Chele’ are reversible. If you are not pleased with the new appearance it can always be taken away.