Dr Nikola Milojevic

Dr. Nick Milojevic

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Non surgical eyebag removal (Tear Trough)

tear trough

This is the one of the most exciting advances in aesthetic medicine and one of our favourite procedures also known as the tear trough procedure. With over 7000 performed cases, we can say that this is one of our biggest specialities and a procedure with a real wow factor. In 95% of patients presenting with a lower eyebag, dark circle or a loss of volume in the area below the eye, we can now very successfully correct the problem with a careful and intricate application of hyaluronic acid fillers. In our experience even the older patient with a significant lower eyebag swelling and skin laxity, can benefit from this procedure greatly.

This procedure is best performed using needles, as cannulas are too inaccurate. We call it a procedure with a wow factor, as it is quick, easy and the results are instantaneous, not to mention magical, as the eyebags literally disappear.

How does it work?

Tear troughs are depressions which run from the nose and all around under the eye. These depressions get worse as we age, as a result of the sagging skin and facial fat underneath, leaving this depression. As the face ages this gives the appearance of lower eye bags and dark circles. In the past, it was thought that only surgery could improve the eye bags, and there were no effective treatments for the annoying dark circles under the eyes. We use a very careful multiple puncture tehnique, injecting the dermal filler deep just above the orbital bone. We inject many times, depositing small boluses, and massaging them and moulding them carefully along the way. Like a patchwork, we slowly bulid up the filler, and because of our special technique, we have never yet had to use hyalase to melt the product away. The procedure takes only 10 minutes and the results are truly amazing. This procedure rejuvenates the tired aging face like no other and the results can last as long as 12-18 months.



How long does the procedure take?

The procedure takes around 10-15 minutes, and the results are instantaneous.

Does it hurt?

The area treated is not very sensitive and pain in most patients is minimal, so much so that we usually do not use any analgesia at all for this procedure.

How long do the results last?

The results will last around 12-18 months, but in many cases it can be even longer. Once the patient has had a few top ups, the results can be very long lasting indeed.

Film about the non surgical eyebag removal treatment (Tear trough)

Is it safe?

Since the manufacturer Q-MED (now Galderma), launched Restylane in 1996, it is estimated that over 9 million treatments in over 70 countries have been carried out worldwide. Restylane and Perlane, which are used in this procedure, are a biocompatible and biodegradable product which means that it is not harmful to the body and is broken down and removed from the body naturally.

The hyaluronic acid fillers come in the form of a sterile gel produced in the laboratory. The advantages of these modern fillers include that they are non-permanent, unlike the surgical alternative..

Are there any side effects?

Some injection related side-effects can occur including redness, swelling and bruising but none of these are usually very significant and will resolve in a matter of days. The most common side effect is bruising, which can be easily covered with make up.

Major long term side-effects are incredibly rare, and hypersensitivity reactions are reported to be as rare as 1 in 20,000 according to latest research.

What are the advantages of this procedure over surgery?

We will assess every patient thoroughly before deciding whether they are suitable for this non-surgical procedure. Many patients who previously thought that their only alternative was surgery, are pleasantly surprised when they are told that this quick and simple procedure can solve their problem.

The advantages of avoiding surgery are many:


After every procedure, we will give you aftercare advice.

Blog: Hyaluronic acid dermal fillers in anti aging medicine - facts, myths and innovations

Dr Milojevic performing the tear trough procedure with Perlane Lidocaine