While the two treatments are quick similar, predominantly it comes down to the area that these treatments affect. Tear trough injections will address the area immediately under the eyes, however under-eye fillers can be a little wider, disguising whole eye bagging or the area around the eyes.

Generally speaking, we would put a maximum of 1 millilitre of filler in one session, as too much volume on the same day can risk overfilling the tear troughs and cause issues with swelling. The premium filler is made especially for the tear trough region, and minimises the risks of swelling, but with the condition of undertaking the process slowly and carefully. The injections are typically done with a needle, a cannula or a combination of both depending on which will give you the results you’re looking to achieve.

One of the more common uses for this particular treatment is the addressing of eye bagging, where the muscles under the eye become weaker over time. The majority of the time, we’re able to disguise this with our filler operations that are carefully placed under the eye. However, for more drastic circumstances surgical removal of the eye bag might be recommended.

Generally speaking, anti-wrinkle injections would be more appropriate to use for this particular skin type. It is also unsafe to perform anti-wrinkle procedures underneath the eye. Instead, it might be worth working towards treatments to improve the skin quality of the region, which may include: platelet rich plasma injections, microneedling, laser treatments and skin boosting injectables.

While dark under eyes can be due to a lack of volume in the area, it can also be due to pigmentation under the eye. This is often genetic. When dark under eyes are due to pigmentation the best treatments may involve prescription of medical grade skincare as well as laser treatments.

Most skin boosters are composed of non-crosslinked hyaluronic acid injections, meaning that the efficacy and durability of these injections is lessened. These will only provide about 2 weeks of improvement in the skin hydration. Some more effective options might be to pursue a course of Platelet-Rich Plasma (PRP, or plasma with more platelets than what is normally found in blood), as well as crosslinked hyaluronic acid that is injected in a special way to minimise the chance of lumping. We use these particular injections in most of our other practices.

Some newer skin-boosters can rejuvenate the skin for longer term results.