If you’re thinking about getting tear trough fillers to address volume depletion in the lower eyelids and have some worries or questions, you’ve found the right resource.
Tear trough filler treatments (injections of dermal fillers; fillers containing hyaluronic acid) are typically very safe, though there are potential side effects that patients should be aware of.
As with any procedure, it’s crucial to understand what to anticipate during the recovery period, including the various stages of swelling. Below is a comprehensive guide designed to help you learn about the swelling timeline and effective management strategies.
Why Does Swelling Occur After Tear Trough Fillers?
Swelling is a common and natural response following tear trough filler treatment. Here’s a detailed breakdown of why swelling occurs and the underlying means:
1. Reaction to the Filler Material
Most tear trough fillers are made of hyaluronic acid, a naturally occurring substance in the skin that binds water and provides hydration. When injected into the under-eye area:
Hyaluronic acid attracts water to the area of injection, which can lead to temporary puffiness as the area absorbs fluid. Each ml of hyaluronic acid can hold up to 1 litre of fluid. The body initially perceives the filler as foreign material, triggering a mild inflammatory response while it adjusts to the substance.
2. Injection Trauma
The process of injecting filler involves the insertion of a needle or cannula into the delicate under-eye tissue. Even with skilled techniques, this can cause:
- Micro-injuries: The insertion creates small punctures in the skin and underlying tissue, which leads to localised inflammation as the body initiates the healing process.
- Capillary Disruption: Tiny blood vessels in the under-eye area may be disturbed during the injection, causing fluid and blood to leak into the surrounding tissue, resulting in swelling and sometimes bruising.
3. Delicate Skin Around the Eyes
The under-eye area is particularly prone to swelling due to the skin in this area being much thinner compared to other parts of the face, making it more sensitive to trauma and more likely to show puffiness.
There is less fatty tissue to cushion the skin, making the effects of swelling more visible. The area naturally tends to retain fluid, especially after any procedure, which can amplify swelling.
4. Body’s Inflammatory Response
When the body detects even minor tissue trauma, it activates the inflammatory process to repair the affected area.
This response includes:
- Vasodilation: Blood vessels in the area widen to increase blood flow, which can cause puffiness.
- Release of Histamines: These compounds are released to combat perceived injury, but they also contribute to swelling by increasing vascular permeability and fluid buildup.
Occasionally the filler can obstruct the lymphatic drainage system under the eye by blocking the lymphatic vessels. Especially if the filler is injected incorrectly in multiple layers of the skin. This is why it is important to see an experienced injector.
5. Individual Factors
Certain individual characteristics can influence the extent of swelling after tear trough fillers:
- Skin Sensitivity: People with more reactive skin may experience greater swelling.
- Pre-existing Puffiness: Those with natural under-eye bags or fluid retention issues may notice more pronounced swelling after the procedure.
- Injection Technique: While skilled doctors minimise trauma, the method used, and the amount of filler injected can also impact swelling.
The Stages of Swelling: What to Expect?
What is the duration of swelling following tear trough fillers? It’s important to understand that swelling from tear trough fillers typically diminishes within 2-4 weeks. This occurs in several stages:
Stage 1 – Swelling Immediately After the Treatment (Day 0-1)
Right after the procedure, the treated area may appear slightly puffy or even overfilled. You might also see minor redness or bruising. The swelling is due to the injections and the body’s immediate inflammatory response.
What to Do:
- Apply a cold compress to reduce puffiness.
- Avoid touching or pressing on the treated area.
- Rest and refrain from vigorous activities for the first 24 hours.
Stage 2 – Peak Swelling (Day 1-3)
Swelling typically peaks during this phase, making the under-eye area appear uneven or swollen. This is the height of the body’s inflammatory response and fluid retention.
What to Do:
- Use cold compresses as needed.
- Sleep with your head slightly elevated to prevent fluid accumulation.
- Stay hydrated and limit salty foods, which can exacerbate puffiness.
Stage 3 – Settling Phase (Day 4-7)
By the end of the first week, swelling begins to decrease significantly. The results start to look more balanced and natural. The body starts to adjust to the filler, and inflammation subsides.
What to Do:
- Follow your doctor’s advice regarding gentle massages, if necessary.
- Avoid exposure to extreme heat, such as saunas or hot tubs, which can prolong swelling.
Stage 4 – Final Results (Week 2-4)
Swelling should completely subside within two to four weeks, revealing the final, rejuvenated appearance. The filler integrates seamlessly with the surrounding tissue, creating smooth and natural-looking results. The skin fully adapts to the filler, and any residual inflammation resolves.
What to Do:
- Schedule a follow-up appointment with your doctor to ensure satisfaction with the results.
- Maintain a healthy skincare routine to prolong the effects of the treatment.
Stage 4 – Long-Term Results and Maintenance (Weeks 4-6)
By the four to six-week mark after the treatment, any swelling should have disappeared, showcasing a fully rejuvenated look. The filler will have merged effortlessly with the surrounding tissue, leading to smooth and natural results. The skin will have completely adjusted to the filler, and any remaining inflammation should have settled.
What to Do:
- Arrange a follow-up consultation with your practitioner to assess your satisfaction with the outcomes.
- Adhere to a consistent skincare regimen to enhance the longevity of the results.
Final Thoughts
Swelling after tear trough filler treatment is a normal part of the healing process and typically resolves within two to four weeks. By understanding the stages of swelling and taking proper aftercare steps, you can ensure a smooth recovery and enjoy the refreshed, youthful look that tear trough fillers provide.
Always consult with an experienced and qualified doctor to minimise risks and achieve optimal results.
Frequently Asked Questions
There might be a slight extent of swelling for up to 2-4 weeks following the treatment.
There are some Blood vessels situated near the surface. If filler accidentally enters these arteries, it can lead to serious complications, including the risk of blindness.
24-48 Hours: The swelling is most pronounced at 1-2 days following the injection. Your skin may appear noticeably puffy. 3-7 Days: The most prominent swelling should start to decrease.
People with excess skin, poor skin condition, noticeable fat bulges beneath the eye muscles, or swelling around the eyes may not be ideal candidates for tear trough fillers. Furthermore, those with severe allergies, ongoing skin infections, or blood clotting disorders should avoid this procedure.
Bruising and significant swelling usually diminish within 5-7 days. Fillers typically take about 2 days to completely integrate into the cheek tissue. By day 7, most individuals look presentable enough for everyday activities. By the 2-week mark, only a trained observer might detect any residual swelling.
