Tear Trough & Under Eye Fillers

Under Eye Fillers

Tear trough is defined as a crease between the lower eye lid and the upper cheek area. In some people tear trough can be genetic but older individuals comprise the largest group of patients that develop tear trough because with aging we lose facial volume and the facial fat pads break down creating a well defined crease under the eye lid. This can make the individuals look like they have dark circles under the eyes and it can accentuate the aging process.

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Dermal fillers, especially the ones made of hyaluronic acid, when injected by well trained medical providers can greatly improve the appearance of the tear trough.

Hyaluronic acid is a gel that has the ability to absorb water and once injected into the skin can plum up the area adding some volume and making skin lines and creases less noticeable.

Although there are many products on the market, the FDA has approved Juvederm Volbella for tear trough injections.

Volbella is the lighter filler of the Juvederm line of products.

Dr. Aurora De Juliis in Montclair NJ is well trained in the injection of Volbella with the purpose to improve her patient’s facial appearance.

Not everyone is a candidate for this procedure and a thorough consultation is recommended prior to using any fillers especially when fillers are injected in such a delicate area like the tear trough.

The injections need to be deep enough in order not to create visible lumps but by the same token Volbella needs to be injected in tiny aliquots because tear trough is one of those areas where less is more.

"I love Dr. DeJuliis! Over the years, I’ve been to a variety of doctors in NY and NJ – including plastic surgeons – for skincare treatments ranging from peels to injections, and Dr. DeJuliis is the best! I’ve never wanted to look like I had anything “done” and she is simply outstanding at making you look (much) better but like yourself. She’s also totally honest about expected results, how long they’ll last and cost. Another thing I love is she is very punctual – a huge benefit for a single FT working Mom whose time is extremely valuable!"

- Anonymous

Is this procedure painful?

Injections in the tear trough are basically painless. For sensitive patients Dr. Aurora De Juliis uses a topical anesthetic cream. 

How long does the filler last?

Volbella can last up to twelve months or more depending on the patient ‘s inner system to break down fillers.

Who is a candidate for tear trough injections?

Every patient should have a medical consultation before the procedure since not everyone is a good candidate for the injections. 

The ideal patient has moderate sagging under the eyes, has healthy skin and is in good health.

Also, it is important that the patient understands that tear trough correction with fillers is not surgery and the results are intended to gently filling the crease under the eyes and make patients look refreshed.

How much does the procedure cost?

The average cost of tear trough injections can range from $600 per syringe up to $1,500 depending on the product used.

Recommendations before the injections:

  • Avoid taking Aspirin, non steroidal anti-inflammatories such as: Advil, Motrin. 
  • After the procedure we advise not to exercise for 24 to 48 hours.
  • Apply cold compresses to the area on and off for the first 24 hours.
  • Avoid sleeping on your face for 24 hours.

Areas We Serve For Under Eye Fillers

The Aurora Dejuliis European Medical Spa is located in Montclair New Jersey. Conveniently serving patients from Montclair, Bloomfield, Glen Ridge, Verona, Brookdale, Cedar Grove, Clifton, Belleville, Little Falls, Newark, Livingston,  all of Essex, Passaic, Morris, Bergen and Hudson county. 

A Nationally Recognized Leader in Anti-aging Medicine

Dr. Aurora DeJuliis prides herself on her reputation for excellence, trust and compassion. Dr. DeJuliis was born and raised in Rome, Italy. She graduated Summa Cum Laude from the University of Rome in Medicine and Surgery. Her specialized training continued in Paris and Rome where she studied skin rejuvenation and anti-aging modalities well before they were readily available in the U.S. For over 20 years, Dr. DeJuliis has been a leader in the fields of anti-aging, beauty, nutrition, and aesthetic medicine.

Book a consultation with Dr. Aurora DeJuliis to learn how we can help you “love your skin and look your best!”


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At The Aurora DeJuliis, MD European Medi-Spa, all the medical treatments are performed by the doctor in a very relaxed and friendly environment. We believe that every client is unique, and we tailor what services would be best for you accordingly.


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