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Tear Trough

Fresh look through gentle correction

Treatment of the tear trough with hyaluronic acid

The eye area often shapes the overall expression more than any single wrinkle. Shadows, fine indentations, and uneven transitions between the lower eyelid and cheek arise from a combination of volume loss, tissue changes, and light-shadow effects.

The treatment gently balances these transitions – not through volume enhancement, but through precise placement of minimal amounts. The gaze appears calmer, more alert, and more rested – without any visible signs of treatment.

Our approach remains deliberately understated – without overcorrection, without overfilling, with a consistent focus on fine, precise results.

Precision in Material and Technique

For the treatment of the tear trough, we exclusively use hyaluronic acids specifically designed for the sensitive eye area. Key factors include precise placement in the correct tissue layer and an adapted technique.

Through experience, precise injection, and the use of high-quality materials, risks can be minimized. The application of minimal amounts allows for targeted balancing of the area without weighing it down or making it look unnatural. The goal is a calm, natural result in harmony with individual anatomy.

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Quick Facts

Duration of Treatment

Duration of Treatment

approximately 20-30 minutes

Downtime

Downtime

usually none, occasional slight swelling or bruising possible

Pain Scale

Pain Scale

approximately 2-3/10

Onset of Effect*

Onset of Effect*

immediately visible, final assessment after a few days

Duration of Effect*

Duration of Effect*

approximately 12-15 months

Anesthesia*

Anesthesia*

Numbing cream

Frequently Asked Questions about Tear Trough Treatment

Tear trough treatment is one of the more complex injection procedures and requires precise anatomical understanding as well as experience. With careful technique, the selection of appropriate hyaluronic acids, and a tailored approach, the treatment can be performed safely and in a controlled manner. An additional important aspect: Hyaluron can be completely dissolved at any time with hyaluronidase if needed.
Mild swelling or small bruises may occur since this is a sensitive and well-vascularized area. Typically, these are temporary and subside within a few days.
With precise application, natural facial expressions remain fully intact. The goal is to balance structural tension relationships—not to restrict movement.
With correct technique and appropriate product selection, the risk of migration is very low. Key factors include precise placement in the correct anatomical layer and the choice of a suitable product. Clinical observations confirm that hyaluronic acid remains stable in the tissue when applied correctly. Visible shifts typically occur with superficial injections, inappropriate product selection, or overly large amounts applied.
Typically, the treatment is performed with a blunt cannula. This allows for gentle placement of hyaluron in the correct tissue layer and reduces the risk of bruising and vascular injuries compared to traditional needle techniques.
Hyaluronic acid is broken down by the body and is not a permanent material. In some cases, small residual amounts may be detectable in the tissue for a longer time, but they are usually neither visible nor aesthetically significant. An additional advantage: Hyaluron can be specifically and completely dissolved with hyaluronidase if needed.
Yes. By using very small amounts and precise placement, the tear trough is gently balanced without altering or weighing down the eye area. The treatment is particularly suitable for hollows and shadows in the tear trough area. However, an individual assessment is crucial, as not every eye area is equally suitable.

Chief Physician Themistoklis Stavrakis, M.D.

Specialist in Plastic and Aesthetic Surgery

Years of experience in plastic and aesthetic surgery, along with a particular focus on modern minimally invasive treatment concepts, shape the professional career of our founder. In our practice clinic in Berlin, we pursue a clear approach: individually planned treatments tailored to anatomy, facial expressions, skin quality, and personal wishes.

"Beauty is how you feel"

Themistoklis Stavrakis - Plastischer & Ästhetischer Chirurg Berlin

International Teaching & Anatomical Expertise

Themistoklis Stavrakis, M.D. is internationally active as a speaker and trainer for modern injection techniques. As a Faculty Member of the Allergan Medical Institute (AMI), he regularly conducts training sessions, hands-on workshops, and scientific lectures for doctors both domestically and abroad. Previously, he served for many years as an international trainer for Galderma and was involved in numerous training programs.

This long-standing teaching activity is based on a solid anatomical understanding, precise injection techniques, and individually tailored treatment concepts.

Individual treatment instead of standard concepts

Every face is unique. Therefore, each treatment is carried out after a thorough analysis of individual anatomy, expression, and skin quality. The goal is to maintain natural proportions and subtly and harmoniously enhance personal radiance—without standardized treatment protocols.

Precision, Naturalness & Long-lasting Results

Our aim is to combine modern aesthetic medicine with the highest precision and medical expertise. Each treatment is individually planned and executed with the goal of achieving natural results that respect individual anatomy and provide lasting satisfaction.

Feel free to schedule a personal consultation. Together, we will develop a treatment plan tailored to your wishes and anatomical conditions.

Individual Consultation Desired?

Would you like to know if a treatment for the tear trough with hyaluronic acid is suitable for you? I would be happy to advise you personally at our practice clinic.

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