Looking Like Me Again: Tear Trough Rejuvenation for Hollow Under Eyes with HA Fillers

Just before my 30th birthday, I finally decided to do something about my hollow under eyes.  After some research, I decided on tear trough rejuvenation through hyaluronic acid (HA) filler injection. That’s so typical and superficial, some people might think. But I didn’t do it because I was turning the big 3-0. I did it because after five years (two years of abdominal pain and three years post-recovery), I wanted to look healthy again. I wanted to look in the mirror and not see those sickly hollow under eyes first thing in the morning. I wanted not to be reminded of that time anymore.

Walking into Revere Clinic’s office in London, I was so nervous. I never had anything done before. However, my nervous were calmed by the friendly and well-informed staff who introduced me to Dr. Sach Mohan, MBBS, BSc., who is the owner and director of Revere Clinic. He turned around in his chair to face me with a warm smile. After I sat down in front of him and we chatted for about five minutes, he said, with a big smile, ‘You look like you’re 21.’ I laughed and he laughed. I needed that.

Then, Dr. Mohan did something I didn’t expect: he asked me what happened. So, I told him about my illness and he listened. And he understood. Despite gaining back the 30 pounds I lost while I was sick, sometimes the fat pockets in the face, particularly under the eyes, don’t come back. This can create a hill and valley appearance on the under eye, which also casts an unhealthy-looking dark shadow, he explained. This wasn’t about vanity; this was about rejuvenation.

Examining my hollow under eyes further, Dr. Mohan recommended Juvederm, an HA filler that can be used for tear trough rejuvenation. ‘HA fillers contain hyaluronic acid, a substance found naturally in the body that attracts and binds with water. Therefore, fillers have been used to plump cheeks, lips, nasolabial folds, backs of the hands, tear troughs and noses (in the form of a non-surgical nose job),’ he explained.

After removing my make-up and disinfecting the under eye area, Dr. Mohan applied an anaesthetic cream (though most fillers have lidocaine, an anaesthetic, and left it to work for 15-20 minutes).

So what did it feel like? It felt like a bit of pressure in my under eyes, not painful at all. After Dr. Mohan finished injecting the fillers into my tear troughs, he applied a cold compress for a few minutes to quell the swelling and bruising. Then, Dr. Mohan held up a mirror to my face.  The results were immediate. My hollow under eyes looked healthy.

‘Post-filler treatment, patients should stay upright for four hours, avoid alcohol for 24 hours and refrain from vigorous exercise for 12 hours. Also, patients should avoid saunas, sunbathing and tanning beds, facials, peels, microdermabrasion, etc., for five days. Make sure to keep the area clean to avoid infection. Make-up can be worn the next day,’ said Dr. Mohan. Women who are pregnant or breast feeding shouldn’t get HA fillers injected. A full medical history should be taken prior.

Apart from a bit of bruising and swelling under my eyes, other side effects that may occur include: redness, itching, slight tenderness and for some cold sore-prone patients, an eruption. There is also a chance of infection, allergic reaction and nodules. Most HA fillers last seven to 12 months, depending on the patient’s natural metabolism and the area of injection.

It’s been five months since the fillers and I don’t regret having my hollow under eyes done. For me, having the tear trough rejuvenation has made me look healthier, not better. Now, I look the way I feel. And yes, I don’t have to look hard to be reminded of my illness. It’s there when I can’t eat something I love. It’s there when I feel sick after eating something I shouldn’t have. It’s there when I have to check the nutritional ingredients of something I want to buy. It’s there when I have to prep for my annual scan. But it’s not there when I look at myself first thing in the morning. And it’s in that moment, when I wake up, that I can truly forget and feel normal. That’s something I never thought I would feel again.

By: Romana Lopez as told to Christina Caicedo
Edited by: Christina Caicedo

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Dr. Sach Mohan, Transform Medical Group, story on HA Fillers, hollow under eyes, tear trough rejuvenationA special thank you to: Dr. Sach Mohan, MBBS, BSc.

Owner and director of revereclinics.com
100 Harley Street
London w1G 7JA

Tel.: +44 2074 868282

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Christina, editor of Evolving Beauty

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