Hyaluron against dark circles: treat tear troughs safely
The most important facts at a glance
Dark shadows or a deep tear trough make the face look tired. A careful injection with Hyaluronic acid can even out volume, reduce shadows and harmonise the transition from the lower eyelid to the cheek - without surgery. The treatment takes around 20-30 minutes and lasts an average of 6-12 months.
| Method | Minimally invasive volume treatment with hyaluronic acid |
| Duration of treatment | 20-30 minutes, immediately socially acceptable |
| Result visible | Immediately / final result after 2-4 weeks |
| Durability | 6-12 months (individually variable) |
| Follow-up check | Touch-up possible after 2-4 weeks |
| Sociability | Usually directly after the treatment |
The injection of dark circles and the tear trough with Hyaluron is one of the most demanding disciplines in aesthetic medicine. The delicate eye area not only requires a deep understanding of the complex anatomical structures, but also years of experience in dealing with the sensitive skin in this region. While other areas of the face can usually be treated more generously with fillers, injecting the tear trough requires absolute precision and a conservative approach.
With Medical NOVA we see the eye area not only as an aesthetic challenge, but also as a medical discipline that requires the highest level of expertise. Our philosophy is based on the conviction that true beauty is created through harmony and natural proportions. This holistic approach is particularly reflected in our approach to the treatment of dark circles. Each tear trough is unique in its shape, depth and relationship to the surrounding facial architecture.
In recent years, modern eye treatment with hyaluronic acid filler has become one of the most popular aesthetic treatments developed. This method is a particularly elegant solution for people who have tired dark circles under their eyes despite getting enough sleep or whose dark shadows have been exacerbated by stress, genetic predisposition or the natural ageing process. The treatment offers a scientifically proven alternative to complex surgical procedures without affecting the natural appearance or facial expressions.
What are dark circles and the tear trough really?
In order to understand how hyaluronic acid treatment works, it is important to consider the anatomical basics of the eye area. Dark circles are caused by a complex interplay of different factors - not just due to tiredness or lack of sleep, as is often assumed. The thin skin under the eyes, which is only around a quarter of the thickness of normal facial skin, makes underlying structures particularly visible.
The Tear Trough is a natural anatomical depression that runs from the inner corner of the eye to the cheek. This groove is created by the attachment of the skin to the underlying structures of the eye ring. As we age, the connective tissue in this region loses volume and elasticity, making the groove deeper and more prominent. At the same time, the cheek fat pads can sag, which increases the contrast between the groove and the surrounding skin.
It is important to understand that not all dark discolouration under the eyes is the same. Pigment-related dark circles are caused by melanin deposits or translucent blood vessels and can only be improved to a limited extent by injecting fillers. Supplementary procedures such as Thulium laser treatments on the face makes more sense.
At Medical NOVA, we therefore carry out a thorough analysis of the individual situation before each treatment. Our medical expertise enables us to differentiate between structural problems that benefit from hyaluronic acid and other causes that require alternative treatment approaches.
Who is the hyaluronic acid treatment for the eye area suitable for?
The suitability for hyaluronic acid treatment of the tear trough depends on various anatomical and medical factors. Not every patient with dark circles is automatically a suitable candidate for this treatment. A careful preliminary examination is crucial in order to achieve realistic results and avoid disappointment.
Ideal candidates for treatment
Particularly suitable are patients for whom a Structural deepening of the tear trough is the main problem. This deepening leads to a play of light and shadow that makes the eyes look tired and sunken. Typical signs of this are dark shadows, which are differently pronounced in different lighting conditions, as well as a visible edge between the lower eyelid and cheek.
People with thin, translucent skin in the eye area often benefit particularly from injections, as even a small increase in volume can bring about significant visual improvements. The lack of elasticity in ageing skin is effectively compensated for by the natural component hyaluronic acid. Patients with genetically low cheekbones or early loss of volume in the midface are also often very satisfied with the results of filler treatment.
When should caution be exercised or is an alternative more sensible?
With Bags under the eyes or pronounced malar bags, filler injections are contraindicated as additional volume can exacerbate the problem. These anatomical changes and the associated reduction in skin elasticity usually require surgical treatment. Eyelid lift or alternative treatment procedures that can also effectively correct existing eye wrinkles.
Patients with pronounced lymphoedema or a tendency to water retention should be treated with particular care, as hyaluronic acid can increase water retention and lead to unwanted puffiness. In the case of severe pigmentation as the main cause of dark circles, other procedures such as Thulium-laser or special depigmentation treatments are more promising.
What can hyaluron do - and where are the limits?
Hyaluronic acid is a natural component of our connective tissue and has the remarkable ability to bind up to 1000 times its own weight in water. This property makes it the ideal filler for injecting into the delicate eye area to treat dark circles and the first wrinkles around the eyes. However, this water binding also harbours specific challenges that must be taken into account during treatment.
Hyaluron treatment options
Hyaluron can compensate for structural deficits and thereby change the interplay of light and shadow that is responsible for the tired look. Targeted injections under the tear trough create a more harmonious transition between the lower eyelid and cheek. Dark circles become less visible, eye wrinkles can be minimised and the eyes appear larger, more alert and youthful without losing their natural appearance. As a natural component of our body, this filler is particularly well tolerated.
Another advantage lies in the immediate visibility of the result. While with other treatments such as Microneedling against wrinkles While it can take weeks for improvements to become visible after an injection of hyaluronic acid or laser treatment, the effect of hyaluronic acid treatment is visible immediately after the injection.
The Reversibility of the treatment offers additional safety. If the result does not meet expectations or undesirable effects occur, the hyaluronic acid can be dissolved with hyaluronidase (hylase). This safety measure is particularly invaluable in the sensitive eye area.
Limits and realistic expectations
Hyaluron can perform no miracles and is not suitable for all problems around the eyes. Pronounced excess skin, deep eye wrinkles or severe sagging require other treatment approaches. There is also a risk of the so-called Tyndall effect with very thin skin, where the hyaluron shimmers through in a bluish colour.
The Water-binding property of the filler material can lead to oedema in predisposed patients, especially in the morning after waking up or with increased salt consumption. This property requires particularly careful patient selection and conservative dosing. Injection should therefore only be carried out by experienced specialists who understand the complex properties of this natural ingredient.
In addition, the results should always be considered in the context of the entire face. Sometimes a Cheek augmentation with hyaluronic acid or a Jawline treatment change the proportions so that the dark circles become less noticeable without having to treat the tear trough directly with filler. This holistic approach requires extensive experience in facial aesthetics.
The treatment process at Medical NOVA in detail
The treatment of the tear trough at Medical NOVA follows a structured, multi-stage protocolwhich has been developed and refined over many years. Our approach combines medical precision with aesthetic flair and state-of-the-art injection technology.
Analysis
Comprehensive assessment of the anatomy and photo documentation
Planning
Customised dosage and injection strategy
Treatment
Precise injection with atraumatic technique
Fine tuning
Touch-up session after 2-4 weeks
Precise preliminary examination and treatment planning
Every tear trough treatment begins with a detailed 45-minute analysis session. Dr Tukezban Huseynova and her specialised team not only examine the eye area in isolation, but also consider the entire facial architecture. Factors such as skin thickness, lymphatic drainage, existing asymmetries and the dynamics of facial expressions are taken into account.
Means high-resolution photo documentation from different angles and under different lighting conditions, the initial condition is precisely documented. These images are not only used to monitor progress, but also help to precisely determine the optimum injection points and depths.
During this phase, all medical aspects are also clarified: current medication, allergies, previous treatments and individual risk factors. Transparency about possibilities and limits of the treatment is at the centre of attention.
Professional preparation and injection technique
After thorough skin cleansing and disinfection, the precise injection points marked. We only use low cross-linked hyaluronic acid, which has been specially developed for injecting the sensitive eye area. The consistency of this natural ingredient is softer than fillers for other areas of the face to ensure a natural feel and optimal integration.
The actual injection is usually carried out with atraumatic microcannulaswhich significantly reduce the risk of haematomas and swelling during injections. This technique requires special expertise, but enables more precise placement of the filler and gentler treatment of stubborn dark circles. The dosage is typically between 0.2 and 0.5 ml per side - significantly less than in other areas of the face, as this natural ingredient works very effectively in the sensitive region.
During the treatment, the result is continuously monitored and the distribution by Soft modelling optimised. The entire treatment takes about 20-30 minutes, whereby the actual injection time is only a few minutes.
Aftercare and optimisation
A decisive component of our treatment concept is the Systematic aftercare. After 2-4 weeks, when the hyaluronic acid has completely set and any swelling has subsided, a check-up is carried out. If necessary, a subtle touch-up can be carried out at this time to achieve the optimum result.
This two-stage approach makes it possible for us, More natural and long-lasting results than a one-off overcorrection. Many patients appreciate this conservative philosophy as it minimises the risk of undesirable effects while ensuring optimal results.
Safety and risk management in the eye area
The treatment of the tear trough is one of the most demanding areas of aesthetic medicineas the complex anatomy of the eye area requires special expertise and care. At Medical NOVA, we have developed comprehensive safety protocols over the years that minimise the risk of complications while ensuring optimal results.
Frequent and harmless side effects
The most common side effects of hyaluronic acid treatment in the eye area are Temporary and harmless. Mild swelling occurs in around 70% of patients and usually subsides within 24-48 hours. These swellings may be slightly worse in the morning after waking up, as lymphatic drainage is slower in the lying position.
Small haematomas occur in around 15% of treatments and are particularly common in patients with thin skin or who are taking blood-thinning medication. These can usually be easily covered with make-up and disappear completely within a week.
A Feeling of pressure or slight sensitivity to touch is normal and shows that the hyaluron is taking its place. These sensations usually disappear after a few days as soon as the surrounding tissue has become accustomed to the new volume.
Rare but important risks
The dreaded Tyndall effect - a bluish shimmering through of the hyaluronic acid - can occur if the injection is too superficial or the filler material is unsuitable. Thanks to our experience and the use of special tear-through hyaluronic acid, this risk is minimised, but not completely ruled out.
Vascular compressions are extremely rare, but can have serious consequences. The anatomical expertise of our team and the availability of hyaluronidase (Hylase) as an emergency medication minimise this risk considerably. All our practitioners are trained in the use of Hylase and can react immediately in the unlikely event of a complication.
Important safety net: At Medical NOVA, hyaluronidase (hylase) is available at all times. This enzyme can dissolve hyaluronan within minutes and is life-saving in the event of serious complications. The availability of this emergency medication is a quality feature of reputable practices.
Our approach to risk minimisation
Our Conservative treatment concept with initially smaller amounts and an optional touch-up considerably reduces the risk of over-treatment. We would rather treat in two smaller sessions than once too many - this principle has proven itself over the years.
Aftercare: the key to optimal results
The right aftercare is crucial for success of tear trough treatment and often the difference between good and excellent results. Our patients receive detailed, written aftercare instructions and can contact us at any time if they have any questions or uncertainties.
The critical first 48 hours
In the first two days after treatment Special care is required. The injected hyaluronic acid needs time to optimally distribute and integrate. Strong facial massages, intense heat from the sauna or solarium and excessive sport should be avoided as these factors can increase the swelling.
Gentle cooling with soft compresses can reduce swelling, but should not be exaggerated. Excessive cold can impair blood circulation and delay healing. A tried and tested trick is to sleep with your head slightly elevated to aid lymphatic drainage.
Make-up can be used again just a few hours after the treatment, but should be Careful and hygienic be applied. It is particularly important to use clean brushes and sponges and to avoid rubbing vigorously.
Long-term care for the best results
One High-quality eye care not only supports healing, but can also extend the shelf life of the hyaluronic acid. Products with moisturising ingredients such as hyaluronic acid or ceramides are particularly recommended. Aggressive peeling products or creams containing retinol should be avoided in the first week.
Consistent sun protection is not only important in the aftercare period, but also helps to prevent further skin ageing in the long term. UV radiation can not only damage the sensitive eye area, but also accelerate the breakdown of hyaluronic acid.
Complementary treatments such as Mesotherapy or gentle RF microneedling can further improve the skin quality and thus enhance and prolong the effect of the hyaluronic acid treatment.
Alternative and complementary treatment approaches
Not every patient with dark circles is automatically a candidate for hyaluronic acid treatment. At Medical NOVA we offer a Comprehensive range of treatment options and develop the optimum treatment plan for each individual patient. Sometimes a combination of different procedures leads to better results than a single treatment.
Treatment options for various causes
With Pigmentation-related dark circles the focus is on lightening the discolouration. Special depigmentation creams can be used here, Thulium laser-treatments or chemical peel procedures can be more effective than volume treatments. These methods usually require several sessions, but can lead to more permanent results.
For the Improvement in skin quality and structure treatments that stimulate the body's own collagen production and improve the skin's elasticity. PRP treatments (autologous blood therapy) utilise the regenerative power of the patient's own blood, while skin boosters are special fillers that provide targeted moisture and improve the skin's elasticity. These treatments can also reduce the first wrinkles around the eyes and are a useful addition to injections.
With Bags under the eyes or pronounced excess skin is often a surgical Eyelid lift the only permanent solution. These surgical procedures can remove excess skin, reposition fatty tissue and also correct deeper eye wrinkles - effects that cannot be achieved with filler injections.
Holistic facial treatment for harmonious results
Often the key to a youthful appearance lies not only in the treatment of the dark circles themselves, but in the harmonious treatment of the entire midface. A strategic Cheek augmentation with hyaluronic acid can, for example, change the proportions so that the tear trough becomes less conspicuous without having to treat this sensitive area directly.
The treatment of other facial areas such as a Jawline contouring or the correction of Nasolabial folds can improve the overall appearance so that individual problem areas are less noticeable. This holistic approach is part of the Medical NOVA philosophy and often leads to more natural and long-lasting results.
Combination treatments for optimum results
The combination of tear trough treatment with other minimally invasive procedures is particularly effective. Botox treatments for the upper half of the face can be carried out in parallel and significantly enhance the rejuvenating effect of injections. For example, a Eyebrow lift open the eyes, while the filler fills the tear trough and reduces dark circles at the same time.
The treatment of Crow's feet with Botox perfectly complements injections with this natural ingredient, as both procedures address different aspects of eye ageing. While Botox relaxes dynamic eye wrinkles, the hyaluronic filler compensates for volume loss - together they ensure a comprehensively rejuvenated look for stubborn dark circles.
The Medical NOVA philosophy: naturalness and expertise
At Medical NOVA, we understand aesthetic medicine as Art and science at the same time. Our many years of experience in aesthetic medicine form the foundation for precise and safe treatments of the delicate eye area. This unique combination of medical expertise and aesthetic flair enables us to achieve results that are not only beautiful, but also natural and harmonious.
Our Conservative treatment approach reflects our conviction that less is often more. Rather than using large quantities to achieve immediate, dramatic changes, we favour the path of gradual improvements that lead to long-term, satisfying and natural-looking results. This philosophy sometimes requires patience, but pays off in the quality and sustainability of the results.
The Individual counselling and treatment planning is at the centre of our work. Every patient has unique anatomical conditions, wishes and expectations. Only through a thorough analysis and comprehensive consultation can we develop treatment plans that are optimally suited to the respective needs.
Safety net and emergency management
The Availability of hyaluronidase (hylase) is a matter of course for us and an important quality feature. This enzyme can dissolve hyaluron within minutes and is life-saving in rare but serious complications such as vascular compression. Not all practices have this important emergency medication.
Our Structured emergency protocol ensures that a professional response can be made immediately in the event of unforeseen events. All practitioners are regularly trained in emergency procedures and can also quickly recognise and treat rare complications.
Frequently asked questions about tear trough treatment
How quickly do you see the results of hyaluronic acid treatment?
A first effect is Visible immediately after treatmentHowever, the final result can only be assessed after 2-4 weeks. In the first few days, swelling can mask the true result and the hyaluronic acid needs time to optimally distribute and integrate. Many patients are surprised at how natural the final result looks - the look is simply fresher and more rested, without the reason for this being recognisable.
How much hyaluron is normally needed for the tear trough?
The amount varies depending on the individual anatomy, but is typically between 0.2 and 0.5 ml per side. We favour a conservative approach with initially smaller amounts and the possibility of a touch-up after 2-4 weeks. This approach minimises the risk of over-treatment and leads to more natural results. Sometimes less really is more - especially in the delicate eye area.
Is hyaluronic acid suitable for bags under the eyes?
For bags under the eyes, hyaluronic acid contraindicated and can even exacerbate the problem. These anatomical changes usually require other treatment approaches such as surgical correction, laser treatments or specialised Microneedling procedure.
How long does the treatment of the tear trough last?
The shelf life is 6-12 months on average and varies depending on the individual's skin, metabolic rate and lifestyle. The sensitive eye area usually breaks down hyaluronic acid somewhat faster than other areas of the face. Factors such as smoking, intensive UV exposure or a very active metabolism can shorten the shelf life, while good skin care and sun protection can prolong it.
Is the treatment painful?
Most patients perceive the treatment as Well tolerated to pain-free. We use very fine needles or atraumatic microcannulas, and the hyaluron used already contains lidocaine for pain relief. If desired, an anaesthetic cream can also be applied. Many patients are surprised at how little they feel from the treatment.
Can I go to work immediately after the treatment?
In most cases you are immediately socially acceptable again. Slight swelling or small haematomas can be easily covered with make-up. However, we recommend that you do not plan important appointments or photo shoots immediately after treatment, as the final result will only be visible after a few days.
What alternatives are there to hyaluronic acid treatment?
Depending on the cause of the dark circles, various alternatives can be useful: Laser treatments for pigmentation problemsPRP therapy for skin regeneration, Mesotherapy for skin quality or Botox-treatments for muscular problems. A combination of different methods often leads to optimal results.
How much does a tear trough treatment cost?
The costs vary depending on individual starting position and required quantity. You will receive a transparent and binding cost overview during the consultation. We attach great importance to fair pricing without hidden additional costs. The investment in professional treatment pays off through the quality and reliability of the results.
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
Further information about the author | Our team | About Medical NOVA
Conclusion: Hyaluron as an elegant solution for tired eyes
A professionally performed hyaluronic acid treatment of the tear trough can effectively rejuvenate tired-looking eyes and ensure a fresh, alert look. The right indication, conservative dosage and the experience of the treating doctor are crucial. At Medical NOVA, we combine medical expertise with state-of-the-art treatment methods for natural, long-lasting results without surgical interventions or unnatural-looking changes.
The treatment is particularly suitable for patients with structural depressions in the tear trough who appear tired despite sufficient sleep. Realistic advice on possibilities and limits is important - Sometimes alternative treatment methods or combination therapies are the better way to achieve the desired goal.
The decision in favour of an aesthetic treatment should never be made under time pressure. Take the time you need to make an informed decision. At Medical NOVA, we are at your disposal with our many years of expertise and competent advice to help you find the optimal treatment path for your individual needs.
Our central location in Bülach makes us easily accessible for patients from Zurich, Winterthur and the entire region. Each treatment is planned and carried out individuallyso that you feel completely comfortable in your own skin and can go through life with renewed self-confidence.