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1300 233 803

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Westfield Bondi Junction
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Bondi Junction, NSW 2022

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Rear of 89 Great North Road
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0493 734 219

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Under eye tear trough filler

Cause and Effect Why does the eye area show ageing so easily?

One of the first areas of the face and body to display signs of ageing tends to be the eyes.

As one of the most observed areas of a person’s face, the eye area rarely goes unnoticed for signs of ageing such as wrinkles and loss of skin tightness.

Skin around the eyes is exceedingly thin and fragile and there’s very little soft tissue such as fat or muscle. That’s why it’s the first area to break down and become looser and thinner, leading to the appearance of thin lines and wrinkles. In covering the hollow eye socket, it is unfortunately an area that has room to cave in and rapidly change.

Although consistently using a medical-grade eye cream will help to slow the process, it’s inevitable that this area will show signs of ageing.

Once collagen production slows down and stimulation of new skin cell regeneration comes to a halt, the effects of free radical damage and ageing come to the fore.

Eye Skin Concerns Unrelated To Ageing

Lines and wrinkles are not the only complaints, and patients of all ages have reason to treat their under-eye area.

Dark circles, puffiness and hollowness are common issues and can have a significant effect on your appearance and confidence, even from a relatively young age.

These issues will be exacerbated by lack of sleep, but are often attributed to more permanent factors such as diet, lifestyle and genetics.

 

Tear trough filler

Under Eye Treatments Common Motivations for Tear Trough Volumisation

Understanding motivations for why our patients undergo cosmetic treatments is an important part of any thorough cosmetic consultation. Some common reasons our patients seek volumisation of the under eye region include:

  • Looking less tired, worn-out or unhealthy: Some of our patients describe constantly hearing “you look tired” even when they have had a full nights sleep. They look to a non-surgical, no downtime improvement that provides an instant refreshed well-rested appearance.
  • Professional triggers: Busy professionals look to volumise the under eye region to counteract looking perpetually tired due to stressful jobs and long hours. Those with client facing roles or on-camera positions stress the importance of looking “fresh-faced”. Appearing more alert, approachable and energetic at work is a common goal of our patients.
  • Event preparation: It’s common to see our patients around the time of an event such as weddings, reunions, birthdays, graduations.
  • Genetic or early onset concerns: Some of our younger patients may have hereditary deep set eyes, or hollow tear troughs.
  • Male specific: Men are increasingly presenting to us for cosmetic treatments under the eye. Men typically don’t have the same option of concealing under eye circles with makeup or concealer, so volumising treatments can offer a practical solution to look less tired with n0 “tell-tale signs” work has been done.

Understanding the Anatomy What is a Tear Trough?

The tear trough is the groove or region of hollowing running down between the inner corner of your eye and your cheek.

Ageing, genetics or lifestyle factors can cause changes to occur in the supporting structures around the eye area. These changes include thinning of the skin, weakening of facial ligaments, loss of underlying fat volume, and alterations in bone density. Such anatomical changes can accentuate the depth and visibility of the tear trough, causing shadows or dark circles, eye bags, and a persistently tired appearance, even if well-rested.

Tear trough filler treatments aim to add subtle volume to this region, softening the anatomical depression and reducing the appearance of shadows. A comprehensive consultation with a Contour Clinics doctor is essential to determine if this approach suits your specific anatomical concerns and aesthetic goals.

dermal filler to the under eye

Assessment of Your Under-Eye Area

Treatment of the under-eye region varies from person to person and often requires an individualised treatment plan.

This is determined by a careful examination of your unique under-eye anatomy, and understanding your individual aesthetic concerns.

Assessment of the tear trough area requires a thorough inspection of five distinct considerations:

  • Depth of tear trough 
    • Hollow tear troughs can be treated with a thin dermal filler that has been specifically designed for this area.
    • Moderate-to-severe tear troughs may require a staged approach; 1ml of filler per session, performed every 2-4 weeks, until the desired result is achieved.
  • Degree of mid-face volume deficit
    • The tear trough region requires support from the cheek beneath it. Flattened cheeks can cause the appearance of a hollow tear trough due to the lack of support provided to the above under-eye area.
    • Correcting mid-face volume deficit can significantly improve the under-eye area.
  • Hollowing of the palpebromalar groove
    • This is the groove on the outer aspect of the tear trough. Filling this area can smooth the transition between outer eye and cheek, while providing support to the inner under-eye region.
  • Eye bags 
    • Under-eye fat bags can become more prominent with age. This can be due to loss of surrounding camouflaging tissue, laxity of overlying skin, or stretching of under-eye compartments containing orbital fat pads.
    • This can be treated with surgery, but most patients prefer our non-surgical blepharoplasty with AccuTite for similar results with no stitches or downtime.
  • Under eye dark circles
    • These are caused by genetics, underlying sinus issues, hollowing, or pigmentation. These are often treated by laser resurfacing, dermal filler or biological stimulating injections with platelets.

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

Frequently Asked Questions

What can I expect during my tear trough filler treatment?

After your complimentary in-clinic consultation, professional assessment and collaborative planning, numbing cream will be applied to your under-eye area.

The area is then cleaned, then based on your assessment filler is placed expertly along the orbital rim to improve under eye volume and decrease under eye circles.

This leaves you looking more alert and less tired regardless of how much sleep you are getting.

The filler is massaged into place to smooth your result.

Where is tear trough filler placed?

This depends on individual differences in unde-eye hollowing.

Some patients require filler placed around the bony rim of the eye socket. This will bolster muscular attachments, revolumise lost fat compartments, and support around-eye ligaments to improve the under-eye aesthetic.

Some need cannula placement (blunt needle) closer to the inner eye to improve under-eye dark circles, and restore lost volume.

Each of our patients receives an individualised program to best meet their under-eye aesthetic goals.

How much under-eye filler do I need?

This depends on the individual.

Generally, we place 0.5ml each side initially. Then we will review your result 2 weeks post treatment to assess whether further treatments are required.

Most patients need only 0.5ml per side for best results.

Are under-eye tear trough fillers safe?

Yes. In our expert hands, under-eye dermal filler is a safe and effective treatment.

With injectable treatments, experience is everything; Dr Josh has performed over 500 tear trough dermal filler injections, and the team of clinicians here at Contour Clinics are all highly experienced and knowledgeable medical professionals.

As with all injectables, bruising is common but very short lived.

Our laser and radiofrequency procedures are very well tolerated, with minimal side effects.

Speak with one of our cosmetic physicians about risks specific to your procedure.

Can tear trough filler go wrong?

There is risk involved with any medical procedure. However, the risk of tear trough filler complications is very rare.

In our hands, bruising is unlikely and only occurs for 1 in 5 patients. This is usually short lived and easily covered by makeup.

Occasionally, tear trough filler can temporarily increase under-eye puffiness. This is usually due to filler placed in patients that aren’t suitable candidates for the treatment, such as those with large under-eye bags.

More serious complications are incredibly rare and will be explained in detail during your complimentary consultation.

Can tear trough filler be dissolved?

Yes. In the case of a poor cosmetic result, or in the unlikely event of a rare complication, tear trough filler can be reversed immediately.

Your under-eye area will return to its original pre-treatment state within 1 week of reversal.

Does tear trough filler move?

Though rare, this can occur if you have under-eye treatments with an inexperienced injector. Filler can move if they are placed above the muscle surrounding the eye. Contraction of this muscle over time moves the filler towards the midline.

Our expert doctors perform more tear trough filler treatments than any other clinic in Sydney, and teach other doctors their methods at Sydney’s prestigious Derma Medical training centre.

This complication never occurs at our clinics.

Which under-eye filler is best?

Here at Contour Clinics, we use a filler designed by Swiss company Teosyl, which has been specifically designed for use in the under-eye area.

It is also the only FDA/TGA-approved filler for this area.

We find that its smoothness and cohesivity characteristics provide the best results in this area.

Does tear trough fillers get rid of dark circles?

Often tear trough fillers can improve the appearance of dark under-eye circles.

Fillers increase the distance between the skin and underlying veins, and thereby decrease the visibility of the dark hue given off by under-eye veins.

Some darkness under eyes is caused by pigmentation.

This will not be improved by fillers; our specialist laser treatments for hyperpigmentation are best for treating stubborn under-eye discolouration.

Your complimentary consultation with one of our cosmetic physicians will reveal which treatment is right for you.

Can tear trough filler cause dark circles?

When expertly placed, this is not a concern.

If placed too superficially, the under-eye area can develop a dark blueish tinge. This is always due to poor injection technique.

If this has happened to you at another clinic, we can reverse the effect and re-inject filler into the appropriate plane to eliminate this issue.

Can tear trough filler get rid of wrinkles?

This depends very much on the severity of wrinkles.

You may notice a decrease in fine lines after volumisation of  the under-eye area with filler. However, this often requires a combination treatment approach including laser, and anti-wrinkle injections.

All of your questions will be answered by our expert cosmetic doctors at your complimentary consultation.

Do under-eye fillers get rid of bags?

Unfortunately, those with large eye bags are not suitable for under-eye filler.

This issue is best treated with our TempSure skin tightening treatment. In severe cases, surgery may be the most effective option.

How long do tear trough fillers last?

These fillers last 9-18 months depending on individual characteristics.

Does tear trough filler hurt?

You will feel minimal pain during this procedure.

At Contour Clinics, we use the strongest prescription numbing cream available.

There is some discomfort when the cannula is positioned but this is short lived. Most people describe an uncomfortable sensation rather than pain. Many of our patients report anti-wrinkle injections as more painful.

Do under-eye fillers cause bruising?

Only 1 in 10 patients bruise with under-eye filler. This varies from a pinpoint bruise to under-eye area darkness. This resolves within 3-5 days and is easily covered by makeup.

How long is under-eye swelling after the procedure?

Temporary under-eye swelling is different for every patient. Most patients leave our clinic without a hint of redness or bruising.

Some patients have mild bruising and minor swelling lasting 3-5 days. This can easily be covered by makeup.

How long for tear trough fillers to settle?

Complete integration within the tissues surrounding the eye takes 2 weeks. We recommend a complimentary review appointment at this stage to check your progress.

How to massage under-eye filler?

We provide under-eye massages after every tear trough treatment.

Your treating doctor will explain exactly how to massage the area. However, it’s usually unnecessary for you to do this yourself, as we massage out any lumps before you leave the clinic.

Treatments to compliment

LED Light Therapy

LED Light Therapy offers a non-invasive solution for facial rejuvenation, utilising different wavelengths to tackle various skin concerns.

Find out more

Lines and Wrinkles

Targeted muscle-inhibiting treatments act to smooth fine lines and wrinkles, giving a smoother, more youthful appearance.

Find out more

Structure and Volume

Replace lost volume, or augment tired and hollow facial features with our premium range of Dermal Fillers. Results are immediate and last up to 18 months.

Find out more

Mole Removal

You no longer need to live with unwanted moles, lumps, or bumps.

Find out more

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