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Tear Trough Injections

Tear Trough Injections Overview

Treats: Hollowing, discoloration, and a tired look under the eyes

Length: 15 minutes

Anesthesia: Topical numbing cream is available

In/Outpatient: Outpatient

Side Effects: Swelling, bruising are possible for a few days after treatment

Risks: Minimal when procedure is performed by an experienced injector

Recovery: Most patient return to regular schedule immediately following the procedure

Duration of Results: 6-12 months, depending on product used

Remarkable Care, Exceptional Results

tear trough dermal filler injections in charlotte, nc


“There is no better doctor anywhere than Dr. Kulbersh! I feel incredibly lucky to have found him. Genetics gave me huge bags under my eyes – they were actually each more like double bags. It made me feel extremely self-conscious, made me look much older than I am and appear exhausted all the time, even on a full night’s rest. After thousands of dollars spent on various eye serums, gels and creams (all with very little to no results) – I saw something on TV about this procedure – using fillers like Restylane for the under eye area – and began a search for a doctor I would feel comfortable with. I found Dr. Kulbersh. His patient concierge Heather is amazing too! They made me feel welcome, explained every single step and follow-up instructions, and the results are absolutely breathtaking. I was hoping for a significant improvement but was blown away! I look 15 years younger. Most importantly, I feel beautiful again. I don’t hate my reflection any more. This was the most life-changing, positive thing I have ever done for myself and I give all credit to Dr. Kulbersh. Could not possibly have a higher recommendation!”

-jen7209. RealSelf



When the delicate skin under the eyes loses elasticity and volume, the loose tissue can create dark shadows and depressions in the tear trough that are difficult to conceal. As the tear trough or nasojugal groove deepens, it can make a person look older or more tired than they truly are, no matter what makeup they apply to the area. For years, the only way to treat pronounced tear troughs was surgery to move the fat tissue. Now, there is a non-surgical solution available. Tear trough fillers restore subtle volume to reduce discoloration and hollowing while refreshing the appearance. Our expert injectors in Charlotte, NC, Dr. Kulbersh, Heather Bryant PA-C, and Courtney Whitley, FNP-C, have great insight into the art of facial rejuvenation with fillers.

The top aesthetic destination of the south, Carolina Facial Plastics, is led by double board-certified facial plastic surgeon Dr. Jonathan Kulbersh. With his team of cosmetic experts, a fully accredited surgery center, and a private recovery retreat all located in the heart of SouthPark, Carolina Facial Plastics is known for
unparalleled and natural-looking results exclusively for the face.

facial plastic surgeon in charlotte, nc

Dermal fillers, such as Restylane and Belotero, can dramatically improve the appearance of deep tear troughs. These fillers are made of hyaluronic acid, a substance that is naturally produced in the human body as a building block for collagen and healthy skin tissue. When injected into the treatment area, hyaluronic acid provides volume and lift to the skin. Learn more about dermal fillers to treat the tear troughs at By injecting small amounts of Restylane or Belotero around the tear trough, the skin will become plump and supple, lifting the skin and smoothing out the visible groove in the skin. To learn more about how dermal fillers can treat loose under-eye skin, visit


Dr. Kulbersh, Courtney, or Heather should be able to perform your tear trough treatment in about 15 minutes as most patients only need one syringe of dermal filler. Most patients are surprised by how painless dermal filler injections are in this area. However, patients worried about discomfort can receive a local anesthetic to numb the area before treatment. A blunt-tipped microcannula is used for the procedure to minimize side effects and ensure the smoothest result.

Patients may experience some bruising, swelling, or redness in the treated area, but these side effects typically fade within a few days. In the rare case that a patient is unhappy with the results, it is possible to safely reverse the effects with an enzyme called hyaluronidase.

We recommend patients schedule dermal filler treatments at least two weeks before any important events to ensure that the bruising has had time to subside. The full and final results of the treatment can last between 9-12 months for many patients.

facial plastic surgery consultation in charlotte, nc

You must receive your tear trough filler injections from a skilled cosmetic plastic surgeon to get the most natural rejuvenation. Not every cosmetic surgeon will have the same level of experience and expertise to achieve comparable results. If not properly administered, injectables near the eye can cause scarring, infection, and even blindness.

Dr. Jonathan Kulbersh has extensive experience with facial dermal fillers, having received multidisciplinary training with prominent facial plastic surgeons in Beverly Hills. Dr. Kulbersh can achieve outstanding natural-looking and subtle results, ensuring that his patients are more than just satisfied.

People considering fillers for deep tear troughs can contact Carolina Facial Plastics today to learn more about how the treatment can achieve cosmetic goals. To get started, please call (704) 842-3644 or complete our online contact form today to schedule an initial consultation at our office in Mecklenberg County.

Frequently asked questions

Dr. Kulbersh and his team use a variety of fillers, including Belotero and products from the Restylane line. The right filler will be selected based on how much volume is needed, and each patient’s specific concerns. Rest assured, we will choose your filler carefully to ensure you achieve the best possible results from your treatment.

Tear trough treatments are relatively comfortable for most patients. However, we do offer local anesthetic for patients who would like additional assurance during the procedure.

Patients who undergo dermal filler injections in the tear troughs will often experience swelling and possible bruising after the treatment. These side effects are usually mild and only last a few days.

The best way to know if tear trough treatment is the right treatment for you is to schedule a consultation with one of our injectors at Carolina Facial Plastics. We will take the time to provide a full assessment and detailed discussion of your concerns and goals to create a customized treatment plan that meets your needs best.

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