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This filling can be accomplished with injectable fillers (Restylane, Juvederm) , fat injections, or by placement of a Flowers Tear Trough Implant. A Flowers Tear Trough Implant inserted under the eyes will augment the cheek bone (infraorbital rim) and eliminate the shadowing.
1) Surprisingly, injections under the eyes are not painful. Patients are often anxious about their upcoming treatment, but are pleasantly surprised to find that there is virtually no discomfort. 2) Mild bruising is common after filler treatment of the tear trough, but typically resolves within a week.