
In fact, the definition “tear through light fillers”, or shortly “tear through fillers” is not quite healthy. I object to and avoid this definition for two reasons:
- The area under the eyes, namely the “tear through” area is not an anatomical structure suitable for eyelid operation alone, but rather a part of the midface. A standalone practice on this area is like changing only the engine oil on a broken down car. It should be more logical to first fix the operation of the engine, and then change the oil, if necessary.
- The skin of the lower eyelid and the upper part of the cheek that is closest to the eye is very thin – as a matter of fact, the thinnest skin of the body is on this area in many people. The entire anatomical structure, arteries, veins, lymphatic drainage, nerves etc. are therefore fragile, weak and thin. Any unnecessary overfilling on the tear through area disrupts this thin, sensitive and balanced structure, and causes a substantial amount of swelling.
What Should Tear Through Fillers Be Replaced With?
Midface is the area where people determine if we look old, tired, sleepless, wrinkled, or fresh, healthy, young and sleek. Therefore we can assume this area as the most important part of our face.
- We should consider the midface area as a whole, globally assess the structures here, and plan the procedures as to always be divided into at least two sessions.
- We should plan energy based device applications such as Micro-needle Fractional Radiofrequency and Synchronised Beam USG that will increase the amount of collagen in skin and subcutaneous tissues for the whole midface, including tear through and cheek area, to provide a more youthful and healthy look
- Regular medical skin care and cleaning must be performed to increase the skin quality at the tear through and periorbital area.