Cheek And Tear Trough Filler: Guide to Restoring Youthful Contours

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Cheek and tear trough fillers are cosmetic treatments aimed at restoring facial volume and reducing signs of aging. Cheek fillers enhance facial contours and provide a youthful lift, while tear trough fillers target the delicate under-eye area to minimize dark circles and hollows.

Both treatments utilize injectable substances, with hyaluronic acid being a popular choice due to its compatibility with the body and natural-looking results. The longevity of these fillers varies, with cheek fillers often lasting longer than those for the tear troughs. When considering such procedures, it’s essential to understand the types of fillers, the procedure itself, expected benefits, potential risks, and the importance of choosing a qualified practitioner.

The Procedure: What to Expect

The journey to rejuvenation with cheek and tear trough fillers begins with a thorough consultation and continues through a meticulous injection process, adapted to each individual’s unique facial structure and aesthetic goals.

Consultation and Personalized Treatment Plan

The initial consultation is a critical step in the filler treatment process. During this meeting, the practitioner evaluates the patient’s facial anatomy, discusses aesthetic desires, and addresses any concerns. A personalized treatment plan is then crafted, taking into account the patient’s specific needs and the most suitable filler options. This plan not only outlines the areas to be treated and the types of fillers to be used but also sets realistic expectations for the outcomes. The consultation is an opportunity for patients to ask questions and for practitioners to provide education on the procedure, aftercare, and potential risks, ensuring informed consent and a shared vision for the results.

Injection Techniques

Cheek Filler Technique: The technique for injecting cheek fillers is vital in achieving a natural and harmonious enhancement. Practitioners may use a combination of methods, including linear threading and fanning, to layer the filler smoothly and sculpt the cheeks. The goal is to restore volume in a way that complements the patient’s facial structure, often focusing on the apex, the apple, and the hollow of the cheeks. Mastery in the technique ensures the filler integrates seamlessly with the existing tissue, providing lift and definition without overcorrection.

Tear Trough Filler Technique: Precision is very important when injecting fillers into the tear trough area. The technique often involves the use of fine needles or cannulas to place the filler just beneath the skin, where it can brighten the under-eye area without creating puffiness or irregularities. The injector must navigate the delicate anatomy carefully, considering the thin skin and proximity to the eye. A successful tear trough filler technique results in a smooth transition from the lower eyelid to the cheek, effectively reducing the appearance of dark circles and hollows for a refreshed and youthful look.

Recovery and Aftercare

Immediate Post-Treatment Care: Following cheek and tear trough filler procedures, immediate post-treatment care is crucial for optimal results and minimizing potential side effects. Patients are advised to avoid strenuous activities and excessive heat exposure for the first 24-48 hours to reduce swelling and bruising. Ice packs can be applied to the treated areas to alleviate discomfort and inflammation. It’s also recommended to sleep with the head uplifted and to avoid sleeping on the face. Makeup should be avoided for at least 12 hours post-treatment, and any skincare products should be gentle and non-irritating. Patients should refrain from consuming alcohol and engaging in activities that can increase blood flow to the face, such as spa treatments or vigorous exercise, for a short period as advised by the practitioner.

Follow-Up Sessions and Touch-Ups: The journey to achieving the desired aesthetic outcome may require follow-up sessions and touch-ups. These appointments allow the practitioner to assess the results, make any necessary adjustments, and add more filler if needed to perfect the contours and volume. Touch-ups are particularly useful for fine-tuning the results once the initial swelling has gone away. They also provide an opportunity to address any asymmetries or irregularities that may have become apparent after the initial treatment. Follow-up sessions are typically scheduled a few weeks after the initial procedure, and touch-ups can help maintain the rejuvenated appearance as the fillers naturally metabolize over time.

Long-Term Maintenance: To maintain the rejuvenating effects of cheek and tear trough fillers, long-term maintenance is key. This involves periodic assessments by the practitioner and scheduled touch-up treatments to replenish the fillers as they gradually break down. Patients should also adopt a consistent skincare routine that includes sun protection, hydration, and the use of products that support skin health and collagen production. Healthy lifestyle choices, such as a balanced diet, adequate hydration, and avoiding smoking, can also prolong the effects of fillers. Regular follow-ups with the practitioner ensure that the maintenance plan is adapted to the individual’s aging process and aesthetic goals, allowing for sustained results.

Frequently Asked Questions

How long should I avoid exercise after receiving fillers?

It's recommended to avoid strenuous exercise for at least 24-48 hours after receiving fillers to minimize swelling and bruising.

Can I wear makeup immediately after the procedure?

It is best to wait at least 12 hours after the procedure before applying makeup to allow the injection sites to heal.

What is the difference between cheek and tear trough fillers?

Cheek fillers are used to add volume and lift to the midface, while tear trough fillers target the under-eye area to reduce hollowness and dark circles.

How do I know if I need cheek or tear trough fillers?

A consultation with a qualified practitioner can determine if you need cheek or tear trough fillers based on your aesthetic goals and facial anatomy.

Can cheek and tear trough fillers be done in the same session?

Yes, cheek and tear trough fillers can often be done in the same session, depending on the individual's needs and the practitioner's assessment.

What is the recovery time for cheek and tear trough fillers?

Recovery time is usually minimal, with most patients resuming normal activities within a few days, although some swelling and bruising may be present.

Are cheek and tear trough fillers suitable for everyone?

Cheek and tear trough fillers may not be suitable for everyone, especially those with certain medical conditions or allergies. A thorough evaluation by a practitioner is necessary.


Cheek and tear trough fillers offer a non-surgical solution to enhance facial contours and rejuvenate the under-eye area. While generally safe, it's important to understand the potential side effects, the importance of choosing a qualified practitioner, and the need for maintenance treatments. With proper care and realistic expectations, fillers can provide significant aesthetic improvements and boost self-confidence.

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Urdiales-Gálvez, F., & Farollch-Prats, L. (2021). Management of Tear Trough with Hyaluronic Acid Fillers: A Clinical-Practice Dual Approach.

Fried R. G. (2011). Filler cheeks: a bright idea? The "eyes" have it.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.