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Under Eye Tear Troughs or Jelly Rolls
For many patients, both young and old, are unhappy with the shadows and depressions that occur under the eyes. Great care is used to achieve a natural balance.
What are Tear Troughs?
Tear troughs are semi-circular creases/depressions which start at the nose and run along the bottom of the lower eyelid just above the cheek bone. These depressions can produce the illusion of darkening around the eyes resulting in ‘dark circles’ or ‘tired eyes’.
As we age, the eyelid above and cheek below begin to sag however the depression cannot sag with the rest of the facial skin due to its ligamentous attachment to the bone of the eye socket. This results in the depression deepening and the shadow and dark circle becoming more noticeable.
What are Jelly Rolls?
Jelly rolls are when you smile, the muscles around your eyes contract. Over time, this can cause wrinkles and creases to appear. The horizontal under eye lines are often caused by the circular muscles contracting and moving eyelids as you open and shut your eyelids. Blinking, squinting, and other unavoidable reflexes may lead to crow’s feet and also “jelly rolls” underneath the eyes.
Treatment – Juvéderm
When tear trough deformities are present, an injectable hyaluronic acid dermal filler (Juvederm) can be used to correct them. Hyaluronic acid is present in all living tissue and works by attracting water molecules to the surrounding collagen fibres resulting in plumper, hydrated skin.