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Understanding under eye treatments What is a tear trough?

The tear trough is the region of hollowing between the lower eye-lid and the cheeks. Problems in this area of the face can leave you with dark circles, under eye hollowing and can leave you looking tired even if you’ve had a full nights sleep.

This hollowing can be accentuated by ageing, weight-loss, fatigue and occasionally sinus conditions. More commonly a hollow tear trough is due to genetics, or can be due to lack of lower eyelid support due to mid cheek volume loss.

 

Assessment of the under eye region

Treatment of the under-eye region varies from person to person and often requires an individualised treatment plan. This is determined following a careful examination of your particular under eye anatomy, and understanding of your individual aesthetic concern.

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

  • The depth of the 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 to refilling of 1ml at a time every 2-4 weeks until a satisfactory result has been achieved.
  • The 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 region
  • 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 the outer eye and cheek whilst also providing support to the inner under eye region.
  • Under eye bags 
    • Under eye fat bags can become more prominent as we age. This can be due to loss of surrounding camouflaging tissue, laxity of overlying skin, or stretching of the under eye compartments containing orbital fat pads.
    • This can be treated with either surgery, or more popularly our non-surgical blepharoplasty with accutite (click here for more information).
  • 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.

Why choose Contour Clinics?

Our Cosmetic Injectors are amongst the most highly skilled in the industry. With the vast array of cosmetic clinics available it can be hard to decide which clinic to entrust with your face. Contour Clinics are the gold standard when it comes to under eye treatment options. Here, you have the most comprehensive range of treatments in the Country. This ensures you get the treatment you need, rather than just the treatment your local clinic has.

  • Clinical excellence with some of the Country's most experienced and respected injectors in the field.
  • Long appointments, with comprehensive assessments.
  • Endless treatment options to ensure you get the treatment regimen suitable for your specific needs.
  • Complimentary consultations and reviews.
  • Affordable treatment options.

What you need to know about tear trough filler Our Medical Director Dr Josh Wall chats to New Idea!

Our very own Dr Josh Wall discusses under eye treatments with New Idea magazine. Find out everything you need to know about under eye filler, as he and Australia’s other expert contributors discuss what is becoming an ever increasingly popular treatment.

Prices and Specials

What is a refreshed, alert appearance worth to you?

Competitive prices, the latest treatment options with clinical excellence every step of the way. This is the Contour Clinics Guarantee.

Prices and Specials

Consultation with our Cosmetic Injectors is complimentary and obligation free.

Only the best will do when it comes to your dermal filler treatments. Our dermal filler is the only FDA and TGA approved for treatment of under eye filler. All other fillers are used off label for this treatment.

95% of our patients only require 1ml in total to treat both eyes.

Using ocular shields to protect the eye from laser light, this treatment brightens the under eye area to remove resistant pigment. Several sessions are required for best results.

Overactive orbicularis occuli muscles can cause an obvious under eye bulge, or wrinkles when smiling. Micro doses of anti-wrinkle can smooth this difficult to treat area.

Tone and tighten under eye skin with our deep dermal heating device the Tempsure

Tighten lower eyelid skin without the need for sutures, stitches or risky surgery. Using the Acutite from inmode, skin is tightened, eye bags removed, and under eye skin resurfaced. This is the Rolls Royce of under eye treatments.

Download our eBook The FIVE things you MUST know about under Eye Filler

“I don’t want to look tired when I’m not”. This is a common comment we hear when consulting patients at Contour Clinics. Under-eye filler is a popular treatment for those wanting to turn back the clock, look refreshed and less tired, or brighten dark under eye circles.

This eBook will tell you the secrets of under eye treatments many other clinics WON’T tell you. Ensure you get the treatment option you need, rather than just the only option available at your local cosmetic clinic.

Subscribe to download our eBook:

Treatment Areas

Fine lines and wrinkles

Biological stimulating injections with platelets is a popular treatment for under eye wrinkles. Using your own plasma, this treatment releases growth factors, stimulates skin cell renewal, collagen formation and rejuvenation of elastic fibres.

Depending on individual characteristics, these fine lines and wrinkles may be treated with anti-wrinkle injections, dermal fillers, non-ablative fractionated laser or radio-frequency skin tightening.

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Under eye filler
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Immediately before and after under eye filler

0.5ml each side for a subtle under eye rejuvenation.

Subtle tear trough improvement

0.5ml placed under each eye for a subtle tear trough volumisation.

Before and After

2 weeks post 1ml of dermal filler expertly placed to restore volume in each tear trough.

There has also been a substantial decrease in under eye dark circles.

Before and After

Before and 2 months after under eye filler

Before and After

Before and 2 weeks after under eye filler

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Tear trough correction with dermal filler.

Before and After

Correction of tear trough filler with 1ml dermal filler. This filler has been specifically designed for the under eye area.

Frequently Asked Questions

What can I expect during my under eye treatment

After your complimentary consultation in our luxurious clinic, professional assessment and collaborative planning, prescription grade numbing cream will be applied to the 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 under eye hollowing. Some need filler placed with needle 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. Here at contour clinics we place half a ml each side initially. We then review at 2 weeks to see if further treatments are required. 90% of patients need only half a ml each side for best results.

Are under eye treatments safe?

Yes. In our expert hands, under eye treatments are a safe and effective treatment. Dr Josh has performed over 500 tear trough dermal filler injections. In the injectable world, experience means everything.

With injectable therapies bruising is common, however 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. The risk of tear trough filler complications are rare. In our hands, bruising occurs in 1 in 10 patients. This is usually short lived and easily covered by makeup. Occasionally, tear trough filler can increase under eye puffiness. This is usually due to filler placed in patients that aren’t suitable candidates for treatment (i.e. 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 normal pre-treatment look within 1 week of reversal.

Does tear trough filler move?

This rarely occurs if you are 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 overtime moves the filler towards the midline.

Our expert doctors perform more tear trough fillers than any other clinic in Sydney, and teach other doctors their methods at the prestigious derma-medical. This complication never occurs at our clinics.

Which under eye filler is best?

Here at Contour Clinics we use a filler designed by the swiss company Teosyl. This has been specifically designed for the under eye area. It is also the only FDA/TGA approved filler for this area. We find 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 as such decrease the visibility of a dark hue given off by under eye veins. Some darkness under eyes is caused by pigmentation. This will not be improved by fillers, rather our specialist under eye laser can treat stubborn under eye pigment. See our pigmentation removal page for more information. A 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 will can reverse the issue 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 antiwrinkle 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 is best treated with our Tempsure skin tightening, or surgery for those with severe bags.

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 ranging from 2-3 out of 10 on a scale of discomfort rather than pain. Many of our patients report botox injections as more painful.

Do under eye fillers cause bruising?

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

How long is under eye swelling post procedure

Under eye swelling is different for every patient. Some leave our clinic without a hint of redness or bruising. Some have mild bruising and 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 during your treatment. This is often not necessary after our treatments as we massage out any lumps prior to you leaving the clinic.

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Recent Reviews

Mia D Dec 20, 2020

The absolute best in Sydney. I would not go anywhere else to get anything done. Everyone I have encountered at this clinic has been so extremely warm and professional and put in so much time and effort to truly achieve your desired outcome. Can’t recommend this place enough, do not waste your money elsewhere.

Amanda K Feb 1, 2021

First time at Contour Clinics and was very happy with the whole experience. Easy to find, easy to park, friendly and helpful staff. Highly recommend and will be a regular from now on.

Rekka P Jan 20, 2021

Very happy with my experience at Contour Clinics Newtown. Everyone was so friendly, professional and knowledgeable. I felt very comfortable during my treatment. Dr Josh made me feel so comfortable. I am so happy. I’ll definitely be back!

* Testimonials are from satisfied customers, results may vary. We offer complementary 1:1 consultations to understand your specific requirements before commencing treatment.

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