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What is a tear trough? Explained by Brisbane and Sydney's leading cosmetic doctors at Contour Clinics

What is a Tear Trough?

The tear trough refers to the natural groove or hollow area that extends from the inner corner of the eye down toward the cheek.

Over time, factors such as ageing, genetics, or daily habits can lead to shifts in the supporting structures around the eyes. These might include:

  • Thinner skin
  • Changes in facial ligaments
  • Reduced volume in the underlying tissues
  • Variations in bone support

Such developments can make the tear trough more noticeable, contributing to shadows, puffiness, or a fatigued look—even when someone feels rested.

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Why Does the Under-Eye Area Show Ageing So Easily?

The under-eye area is often one of the first facial regions to show changes over time, such as reduced skin firmness or fine lines. This is because this area is commonly used to make expressions and face environmental elements, such as sun exposure.

This skin in the hollow under-eye area is thin and delicate, with minimal fat or muscle support. This makes it prone to structural loss and a looser appearance. Additionally, since the skin covers the eye socket’s natural hollow, it may also allow inward settling that accentuates facial and skin changes quickly.

Due to its fragility, the under-eye area is susceptible to:

  • Early signs of ageing
  • Volume loss
  • Fatigue
  • Dark circles
  • Puffiness
  • Hollowness
  • Fine lines and wrinkles

Regular use of an appropriate eye creme may help maintain skin health, but some changes are a normal part of ageing for many. After all, as collagen decreases and cell renewal slows, other factors can heighten the visibility of ageing signs:

  • Sun exposure
  • Poor sleep
  • Poor diet
  • Lifestyle habits
  • Genetics

If you’re experiencing any issues with the skin beneath your eyes, a consultation with Contour Clinics can identify causes and explore tailored non-surgical options. Note that individual results vary.

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What is a Tear Trough Treatment?

Non-surgical options for under-eye volumisation focus on gently addressing the hollowing, thinness or darkening across the upper cheek and under the eyes. It strives to potentially soften this area’s appearance, restore skin tightness, and lessen shadows.

The procedure to address lost volume, tiredness and darkening of eye hollows is as follows:

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Step 1 Initial Consultation

One of our qualified cosmetic doctors will provide a thorough and free initial assessment for any patient interested in treating their tear troughs. They will take the time to discuss your personal goals with the procedure and any concerns that you may have.

When assessing the tear trough and surrounding areas, we consider several aspects:

  • Depth of the tear trough: Mild hollowing might be addressed with subtle non-surgical volumisation, while more pronounced cases could involve a gradual approach over multiple sessions spaced weeks apart to monitor progress safely.
  • Degree of mid-face volume deficit: The cheeks provide natural support to the under-eye region; if flattened, this can emphasise hollowing above. Addressing mid-face concerns may help improve overall balance, but outcomes depend on individual factors.
  • Hollowing in the palpebromalar groove: This outer groove near the tear trough can create uneven transitions between the eye and cheek. Non-surgical methods might soften this, supporting the inner under-eye area, though results are not uniform.
  • Presence of eye bags: These can become more visible due to shifts in surrounding tissues, skin laxity, or orbital structures. While surgical options exist, many prefer non-surgical alternatives like energy-based tightening for potential improvements without incisions—discuss risks and suitability in consultation.
  • Under-eye dark circles: Often linked to genetics, sinus issues, hollowing, or pigmentation, these may respond to options such as laser therapies or volumisation techniques. A thorough assessment helps identify causes and explore approaches, with variable results per person.

Step 2 Tear Trough Volumisation Procedure

Once ready, a topical numbing cream is applied to the treatment area for comfort and minimal pain. The skin is then cleansed, and, based on your evaluation, a non-surgical volumisation technique is used along the orbital rim to address hollowing and shadows.

This process aims to support a smoother appearance, but results vary by individual factors such as skin type and lifestyle; some may notice a more rested look, while others experience different outcomes.

Finally, a gentle massage helps integrate the treatment for evenness. The session typically has minimal downtime, although it varies person to person, and we’ll provide aftercare guidance to manage any side effects.

Sunken Under-Eye Tear Trough Treatment

Step 3 Aftercare

Typically, the treatment settles into the surrounding eye tissues over about two weeks, allowing for natural adjustment. We suggest a complimentary follow-up review at this point, if required to monitor your individual progress and address any questions.

Keep in mind that integration time can vary based on factors like your skin and lifestyle, and we’ll discuss this during your consultation at Contour Clinics.

In the meantime, typical aftercare instructions are:

  • Stay hydrated to reduce swelling
  • Regularly but gently massage the target area with a clean cloth to prevent lumps from forming
  • Avoid activities that may cause excessive sweating, such as exercise, sun exposure or saunas
  • Avoid skin care products that contain ingredients with AHA, BHA or retinoids (vitamin A)
  • Don’t apply unnecessary or forceful pressure to the treatment area
  • Don’t apply makeup to the treatment area

Step 4 Results

It’s important to remember that tear trough treatment results differ based on individual anatomy and other factors. This includes the results of said treatment, which can differ in timeline, potential side effects and resolution of symptoms.

Typically, the results of a tear trough enhancement procedure last for 9-12 months with proper care. Some individuals may experience results for longer, while others may require a touch-up appointment sooner.

Always check in with your doctor for any questions about your results and when your follow-up appointment may be needed.

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Where are Tear Trough Treatments Placed?

The exact placement for non-surgical under-eye volumisation varies based on your unique anatomy and the nature of hollowing in the tear trough area.

For some, treatment focuses along the orbital rim (the bony edge around the eye socket) to provide support to muscles there. This placement of treatment may also help to restore volume in affected compartments and strengthen nearby ligaments, potentially enhancing the overall under-eye appearance.

Others may benefit from a cannula technique (using a blunt instrument) nearer the inner corner of the eye. This placement is typically used to address shadows or dark circles and add subtle volume where needed.

At Contour Clinics, every plan is customised through a thorough assessment to address your specific goals, with no one-size-fits-all method.

When it May be Most Suitable:

  • For those with hollowing due to natural volume shifts, rather than prominent structural issues
  • When apparent “bags” are mainly from shadowing, not excess tissue

When Other Cosmetic Options Might be Better:

  • In cases of notable puffiness from fat protrusion
  • Excessively loose skin
  • Fluid buildup

Consider alternatives like radiofrequency or laser resurfacing to improve skin texture under the eyes if found unsuitable for tear trough treatment.

How Much Under-Eye Volume Do I Need for Sunken Tear Troughs?

How Much Under-Eye Volume Do I Typically Need for Sunken Tear Troughs?

The amount of volume required for under-eye treatments varies greatly from person to person, depending on factors like:

  • Your unique anatomy
  • The extent of hollowing
  • Aesthetic goals.
  • What your cosmetic doctor has determined to be both safe and appropriate for you

In many cases, we start with a conservative approach, such as 0.5ml per side, to assess how your skin responds. A follow-up review around two weeks later allows us to evaluate the outcome and decide if additional sessions might be suitable.

While some individuals find 0.5ml per side sufficient to address their concerns, others may need adjustments based on their response—always discussed in detail during your visit at Contour Clinics.

Why Consider Under-Eye Volumisation for Tear Troughs

Why Consider Under-Eye Volumisation for Tear Troughs?

Understanding what draws individuals to explore non-surgical options for the under-eye area is a key part of any detailed consultation. Here are some typical factors that lead people to seek treatments for tear trough hollowing or related issues:

  • Addressing a perceived tired or worn appearance: Many notice shadows or hollows under the eyes that can make them seem fatigued, even after good rest. Non-surgical approaches aim to achieve a more alert look, though outcomes depend on individual factors like skin type and lifestyle. Outcomes are not guaranteed.
  • Work-related considerations: Professionals in demanding roles, such as those involving long hours or client interactions, often look for ways to maintain a vibrant presence. This could support appearing more engaged during meetings or on-screen, but results vary and should be discussed in a consultation.
  • Preparing for special occasions: It’s common for people to think about under-eye concerns ahead of events like weddings, reunions, or milestones. They may be aiming for a refreshed feel in photos or in person—keeping in mind that any changes are unique to each person.
  • Hereditary or early signs: Some experience under-eye hollowing due to family traits or natural facial structure from a younger age, prompting interest in options to address these features over time.

If these resonate with you and you’re in Sydney or Brisbane, a personalised assessment can help determine if under-eye volumisation aligns with your needs. Remember, all procedures carry risks, and we’ll cover them fully during your visit.

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The Eye Creme Elevate Your Eye Care Routine with Ilumaé: Science-Driven Hydration and Brightening

Daily skincare can play a role in maintaining the delicate under-eye area, complementing non-surgical treatments. It does so by providing hydration and support against common concerns like puffiness, dark circles, or fine lines.

The Eye Creme from Ilumaé is formulated to help with these issues, suitable for all skin types and available in a 15 mL size. Key ingredients of this skin care product include:

  • Caffeine, which acts as an antioxidant to potentially brighten the skin and reduce puffiness
  • Peptides to encourage collagen and smooth texture
  • Shea butter for deep hydration and soothing without clogging pores.

This creme may help lessen the appearance of under-eye puffiness, brighten shadows or dark circles, and soften fine lines—though results vary by individual skin response and consistent use.

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Which Under-Eye Treatment is Right for Me?

Non-surgical treatments for the under-eye area focus on the specific factors contributing to your concerns, determined through a personalised consultation. Outcomes vary by individual, and all procedures carry risks such as temporary redness, swelling, or bruising.

The best under-eye treatment is the one recommended by your doctor, that fits your budget, and makes you feel confident in your choice.

  • For hollowing or volume loss in the tear trough: Gentle volumisation techniques may help smooth the transition between the cheek and eye. The approach will be customised to avoid excess skin and suit your anatomy.
  • For dark circles linked to skin looseness: Laser resurfacing options can encourage collagen production to potentially firm the area, refine texture, and reduce pigmentation—though results depend on skin type and other factors.
  • For overall brightening and repair: Enhancements using your own processed blood components might support tissue renewal in shadowed or sunken zones, promoting a more even tone over time.
  • Supportive skincare: Topical products designed for the under-eye, such as The Eye Creme from Ilumae, can aid in lightening and are often combined with other methods for maintenance. Effectiveness differs person to person.

If you’re exploring under-eye treatments in Sydney or Brisbane, schedule a consultation to review your options and ensure they align with your goals

The Contour Clinics Guarantee

At Contour Clinics, we’re committed to providing safe, ethical, and personalised cosmetic care. Our experienced clinicians focus on delivering balanced, realistic outcomes tailored specifically to your needs.

Book your complimentary consultation today to discuss suitable cosmetic options and experience the patient-focused care that sets Contour Clinics apart. Individual results can vary, and our clinicians will guide you through what outcomes may be achievable for you.

  • Complimentary, obligation-free consultations with experienced doctors
  • Strict safety and hygiene protocols aligned with industry-leading standards
  • Advanced 3D photography to aid in a collaborative, comprehensive facial analysis
  • Products and technologies selected based on quality, safety, and efficacy
  • Medical-grade clinical environments thoughtfully designed for patient comfort and convenience

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