It's Not That Simple: How to Treat Tear Trough Dark Circles

Information on getting rid of dark circles is everywhere, so why would you need aesthetic medicine? It is not as simple as you think! Did you know that dark circles come in many types? The most troublesome is the “tear trough dark circle.” A tear trough is bothersome enough, and here it is mixed in with dark circles... Do not assume that getting rid of the tear trough is the end of it. This article analyzes the causes of tear trough dark circles and how to solve them. Come and see whether you have this problem.

Tear Troughs, Dark Circles, Aegyo Sal, and Eye Bags: Differences and Causes

When people talk about the eyes, a few names always come up: tear troughs, dark circles, aegyo sal (the fullness just under the eye), and eye bags. All four sit below the eyes and affect the look of the eye area and the first impression you give. Here is a brief rundown of what causes each and how they differ:

(1) Tear Trough

Mostly caused by aging and similar factors, resulting from loss of collagen or subcutaneous fat. It is made up of connective tissue.

(2) Dark Circles

Caused by an allergic constitution, staying up late, excessive rubbing of the eye area, and similar factors.

(3) Aegyo Sal

Made of muscle. When you smile, the muscle under the eye moves and makes the eyes look brighter and livelier!

(4) Eye Bags

These come in two forms, congenital (hereditary) and acquired. Acquired eye bags are mostly caused by fatigue, aging, and similar factors, and are made up of fat.

Apart from aegyo sal, any of the four conditions above may appear together with dark circles, as in tear trough dark circles and structural dark circles.

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What Are Tear Trough Dark Circles?

There are four factors behind tear troughs: rubbing your eyes often, staying up late over a long period, overusing your eyes, and increasing age. Surprising, right?

Small everyday habits like these can bring such a big and irreversible problem. Not getting enough sleep, pulling excessively at the eye area, and poorer blood circulation all make the skin looser and speed up aging, gradually forming the so-called “tear trough”. You can use eye massage, eye creams and other skin care products, and concealer to disguise and improve it. So what exactly is the “tear trough dark circle” that everyone is wondering about?

The Biggest Difference Between Tear Trough Dark Circles and Other Dark Circles:

Ordinary dark circles are mostly caused by “pigmentation” or “pooled blood”. Tear trough dark circles are caused by genetics, or by factors such as loss of the apple cheeks, bulging eye bag fat, and loss of bone around the eye socket after aging, which leave the socket hollow. It may also be because the “tear trough hollow” is exposed to too much sun, casting a shadow. The most troublesome part is that this type of dark circle cannot be improved with eye creams or other skin care products, so to solve it you have to address the “structural” problem.

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Causes:

1. The tear trough ligament is pulled: everyone has a “tear trough ligament” under the eyes that pulls the skin downward. If the pull is strong, a hollow forms. (Some people are born with eye bags, or fat around the eyes bulges with aging, which makes the tear trough more obvious.)

2. Underlying support: thin or displaced fat, or a small skeletal frame leaves the skin with less support, which forms a tear trough.

3. Loose skin: if the skin at the cheekbone does not have enough support, it also sags downward, making the tear trough more obvious.

Tear Trough Filler Not Working? Here Is Why

Let's first look at “tear trough filling.” It raises many concerns and technical considerations. The skin around the eyes is thin, so injecting slightly too much, or failing to address the other problems around the eyes, can backfire with effects such as swelling and visible lines. So to treat a tear trough, you must take the doctor's skill, experience, and aesthetic sense into account.

To treat tear trough dark circles, you therefore need to start from the root cause. As mentioned above, the support under the eye, the firmness of the skin around the eyes, the fat around the eyes, and so on must all be treated together to effectively improve both dark circles and tear troughs.

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Key Approaches Revealed

To fill tear trough dark circles, you can choose “hyaluronic acid” or the “Panda Injection,” combined with everyday basic care such as warm compresses and massage, avoiding late nights and eye rubbing, and so on. Tear trough dark circles are also called structural dark circles: they look simple but are not. To improve visibly dark eye sockets, the best approach is hyaluronic acid combined with eye bag surgery, and if you would rather avoid surgery, we recommend improving the area with basic hyaluronic acid injections and daily skin care.

Tear Trough Dark Circles: Ellansé

Ellansé is also known as the “girl needle”, with two major features: filling and collagen stimulation. It is a collagen stimulator that holds its own among the many hyaluronic acid brands and can last up to two years. It also combines the strengths of hyaluronic acid, Sculptra, and Radiesse, and works very well on volume and facial lifting, restoring your good looks overnight.

Ellansé comes in two formulations, “S” and “M,” which suit slightly different areas and have slightly different effects. For filling facial hollows, apple cheek hollows, tear trough hollows, and similar lines, the M formulation is needed, because its PCL microspheres are denser and it lasts one year longer than the S formulation.

What makes Ellansé stand out in many people's minds is that, besides lasting the longest, it also has a big advantage in effect: 30% of Ellansé's ingredients can be absorbed by the body, and the remaining 70% is a compound formulation of natural plant extracts, so safety and stability are both very high. After an Ellansé injection, fine lines and wrinkles are filled immediately, so even without makeup you do not look dull. Throughout its active period it also keeps stimulating and repairing collagen, which means your own collagen production is stimulated without extra injections or return visits every few months for a top-up. Generally, swelling is not an issue; only a small number of patients experience swelling or bruising, which is normal, and applying plenty of cold compresses helps the swelling go down.

Panda Injection

Known as the savior for dark circles, it has a soft, sticky, fibrous structure that can fill hollows and inhibit melanin, so it is also noticeably effective for dark circles. If your dark circles are only mild, we also recommend the Panda Injection.

Hyaluronic Acid

If you want something long-lasting, we recommend choosing Juvederm hyaluronic acid. Juvederm comes in five formulations to address different skin concerns on the face, and has four major advantages: long-lasting, safe, low allergenicity, and high spreadability (no lumpy feel). So if you want to treat a tear trough with hyaluronic acid, Juvederm is a great choice.

We also recommend Restylane hyaluronic acid for filling. Restylane comes in four formulations for different problems and areas across the whole face. It can likewise last 12 to 18 months, is highly compatible with skin tissue, and is not prone to migration, making it a brand many first-timers choose.

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Hyaluronic Acid Brands Compared! Which One Suits Me Best?

There are many options and brands for improving tear troughs, so we recommend a consultation and assessment at a clinic before injection, or doing a self-assessment at home to find out why you look tired and dull and what type of dark circles you have. Only after identifying the problem should you choose a suitable treatment, so that you get the best result.