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Tear Trough and upper cheek dermal filler treatment to correct dark circles under the eyes

Dominique demonstrates a good example of a Tear Trough and Upper cheek treatment at Well Medical Arts. This treatment was with 1 syringe Restylane in the tear trough and 2 syringes of Radiesse in the upper cheek. We get lots of calls about dark circles under the eyes which is commonly caused by volume loss in both the tear troughs and the cheeks. When treating both areas we can minimize the amount of filler required in the actual tear trough as filling the cheeks will often correct some of the issues our patients are seeing. Some patients opt to treat just the cheeks first and return for the tear trough only if needed. Typical tear trough treatments can swell and bruise so time this treatment appropriately around any big social engagements. Filling the cheeks typically causes less bruising as we are injecting the filler deeper under the surface of the skin.

Online scheduling is not available for this appointment. Please call our patient care coordinators at 206-935-5689 to schedule your appointment or to learn more about this procedure.

Tear Trough and Cheek dermal filler Video Transcript

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hey it’s Dominic well from wall medical

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arts and yeah today we get to do

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teardrops one of my favorite things to

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do makes people look so well-rested and

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just healthy and then we get to add on

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some glamorous cheeks another favorite

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all right so I’ve gone given arnica to

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prep for good healing cleaned and now we

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get to start with the fun artwork I’m

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going to start by drawing where I’m

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gonna go and you can look for the actual

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can you a little bit a little bit and

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strike one – barely

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okay and then we also have a very fun

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tool that’s gonna help

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it’s called the River AMA it’s a little

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vibrator

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okay this one tool there we go put it in

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your right hand and put it up against

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your right wrong okay

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sorry your left hand back there you go

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there you go cuz I’m working on video

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yeah and you can actually move this

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along your jaw and up towards your ear

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you can put it on your clavicle your

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collarbone

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okay so what’s gonna happen is your

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nerves are gonna feel that instead of

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this okay close your eyes one of the

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other things that helped me see the tear

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trough well there you go that’s what it

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feels like not too too bad right now

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sometimes people can hear

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yes okay now with the teardrop it’s best

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there we go good job to do very small

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little teeny-tiny linear threads and

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right deep so you don’t see any filler

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you’ll want to keep it so that you just

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see the person’s own natural tissue

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awesome yeah

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I’m gonna have you gently tuck your chin

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to your just a little bit I know it’s a

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little strange and I’m gonna have you

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open your eyes and look up towards the

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ceiling what that does is that makes the

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tear trough pop out for me so I can see

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exactly where yours means the corruption

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almost you like this is the worst angle

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for a photo so very small it’s looking

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great you’re doing fantastic how is it

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as far as out doing this for you all

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right

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[Music]

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oh yeah oh wow isn’t that nice

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so very natural we can always put a

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little bit more seems like it could use

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just a tiny bit more right through there

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okay but look at how much actually yeah

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teardrop itself yeah and you always want

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it to look natural where you’ve still

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got a little that we call it under

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corrected mm-hmm so the best kind of

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work is the work where people don’t know

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this and say what you have done and

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they’re beautiful all right I’m gonna go

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on over into the same thing other side

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towards me nice just they both look very

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nice they look great miji know why don’t

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you looking at teardrops you’ve got the

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part that has volume wants and then

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sometimes you’ll have a little part

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that’s popping up above we’re not

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actually doing anything

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the puffy part what we’re feeling is the

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volume loss part and making them try to

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match so they’re just kind of trying to

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camouflage so tear trucks not too bad no

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no just a few little areas that you

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could feel will dip them in here and

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there yeah okay well now turn to retain

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this one we’re not using lidocaine for

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each little poke so you will feel the

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poke it’s not that bad okay and when you

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look at your face afterwards she’ll be

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like oh it was nothing to poke me any

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day don’t hurt as much sometimes as we

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start marching towards the side this way

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they tend to get just a little bit yeah

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[Music]

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use that little – alright let’s go ahead

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and take a peek in the mirror and let

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her see you with that left side looks

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like

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oh wow in that profile so see how

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natural oh my god but it making sure she

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could look like it does when it’s

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smiling yeah so look how happy okay yeah

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and it lifts this just a little yeah but

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see that’s that little cheery happy

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lifted blue man remember on this side

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that the highest point of your cheek was

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down here right now the highest point of

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your cheek is cute isn’t it it is yeah

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the cheeks of glamorous the teardrops

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are nice for rested healthy and the

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cheeks are whoo yeah all right let’s get

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the other side all right

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so you made it yeah what we want to do

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now is put a little topical arnica on it

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and make a look at everything okay look

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at what a good correction we got go

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check our symmetry make sure that you’re

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happy okay but I am going to teach you

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the lymphatic drainage massage technique

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if you swap

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okay so swelling and their cheeks will

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take the path of least resistance is up

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into the tear trough and we did your

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tear trough so you might swallow up here

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and be a little bit coffee just know

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that that’s normal

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okay and then I’m going to show you the

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way that we get it out first you’re

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gonna wash clothes in the microwave for

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like 25 30 seconds okay and then how

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does this feel too hot or nice oh good

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[Music]

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now usually we’re most swollen in the

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mornings after being horizontal all

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night and yes said that you would use

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the cold yeah the warm works better for

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swelling because it’s a vasodilator

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opens everything up so then it can get

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out back into the vascular out into the

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lymph nodes now your lymph nodes are

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over here okay so what we’re gonna do is

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massage and it’s a little bit more

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vigorous then you would think feel that

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pressure that’s a little bit more than

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what you would probably put right on

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there and then we push this over towards

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your lymph nodes and then down

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she goes in front of the ear and down

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and so any of that fluid there so

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swelling is just your body doing its job

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okay I booked you and your body says oh

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my gosh send down the troops to try and

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heal everything and boom swollen it will

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eventually go out on its own but if you

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get impatient the warm compress okay

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followed by the lymphatic drainage

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massage help move those fluids back into

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the system let me just get the other

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side oh wow oh yeah yeah definitely

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isn’t that nice mm-hmm and I’m just

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seeing a little bit yeah yeah yeah I

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always do you like to leave things a

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little bit under correct and then so

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that it looks very natural but this is

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why each side of the face is different

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and even though we do the same thing to

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each side we like to examine it at the

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end and then see if anything needs a

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little bit more okay I see on this side

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too there’s still a ton yeah the malar

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break on that side but it’s much better

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okay what I’m going to do is just put a

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little bit more on this side and then

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we’ll be done

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okay it still feels nice and smooth now

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take a peek in let’s examine oh yeah

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yeah so that’s how you do the tear

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trough and the cheeks

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you

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