Tear trough filler—more commonly known as under eye filler—is a great way to fill in sunken or hollowed under eyes. However, not everyone is a good candidate for this dermal filler procedure. While it is safe and low risk overall, some people may better benefit from other options or simply not be a good candidate for any fillers. Let’s look at the question, “Who is not suitable for tear trough filler?” First, if you have ever broken or injured the orbital bone, most injectors will not perform tear trough filler. While there are some exceptions to this, it is generally not a good idea to do, especially if the break was within the recent past. Additionally, certain medical conditions such as ones that may cause excessive bleeding or which severely compromise the immune system. Second, if you have extra skin on the lower eyelids, you may benefit more from a lower blepharoplasty surgery first. You may become a candidate for tear trough filler after, but removing extra skin and tightening the remaining skin is the first step for under eye rejuvenation for these patients. Finally, anyone interested in semi-permanent fillers like Sculptra or Radiesse. These fillers cannot be used under the eyes. If the patient is okay with using hyaluronic acid fillers for this procedure, then they may be able to undergo it. To learn more and schedule a free consultation with an injector, call us at 425-775-3561. You can also reach out online via chat, contact form, or Price Simulator.