Tear Trough

tear trough

Tear Trough

What is the tear trough?

The tear trough is the sunken area just beneath the corners of your eyes that can run in a crescent shape to the nose.

With age, the skin in this area tends to loosen as the fat redistributes, creating a groove that can form a chronically tired look. When we were children, the fat pad on our cheeks filled that space but over time, our cheeks tend to descend leaving a hollow behind.

tear trough

(Results vary by individual patient and  results cannot be guaranteed)

What can be done?

Rejuvenating the tear trough area is often approached by both replacing loss volume in the cheeks and in the actual groove itself.  A thick filler such as Juvederm Voluma or Perlane can be used for the cheeks and then a thinner filler such as, Belotero® Soft may be best for injecting under the finer skin of the tear trough. Although a skin tightening treatment of Thermage CPT  or a combination of Fraxel and Thermage (ThermaFrax) may be recommended for the loose skin, filler may still be needed to bring back those youthful cheeks and smooth the depression of the tear trough.

PuraPlas, a procedure that uses your own platelet-rich plasma (PRP) to rejuvenate the under-eye skin and slowly fill the tear trough groove.


This was my first time seeing anyone about filler for my deep tear troughs. I was nervous about getting filler and looking “done.” The staff were very patient and entertained my plethora of questions. My consultation with Nadine was very pleasant and she gave me a rundown of what she envisioned for me, taking into consideration what I was comfortable with and my budget. I was only in for a consultation but decided to move forward with the procedure. Dr. Frame was extremely friendly and I really enjoyed his bedside manner. I struggle with acne also and both Nadine and Dr. Frame seemed keen on helping me with my skin. Dr. Frame answered all of my questions about my options and was very thorough in his inquiries about my health. I truly felt like I was in good hands. I also really appreciated that there was a second set of eyes during the entire process and that Dr. Frame took my suggestions into consideration. Lastly, and probably most importantly, I didn’t feel pressured to do more than what I was comfortable with. Nadine explained the importance of a cheek filler as a base for the tear trough filler. After seeing the finished results, I definitely see how important this was! Overall, this was a very positive first time experience with filler and I am very happy with my decision to go to Dr. Frame as my research was based purely on what was available on the internet. I would highly recommend this doctor and this clinic! I am very pleased with my results and am amazed at what a difference I am seeing! I look forward to the follow-up!

604.261.9121 Map