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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.

Woman face, eye wrinkles before and after treatment - the result of rejuvenating cosmetological procedures of biorevitalization, botox and pigment spots removal

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

Before and after

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.

*Disclaimer - Results may vary from patient to patient.

Frequently Asked Questions

Which procedure is right for me?

This depends on individual characteristics, results desired, your expectations and budget. We recommend a complimentary consultation with one of our cosmetic physicians to see what treatment is right for you.

Options for this area include:

As seen on


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or call us on 1300 233 803

Recent Reviews

Kellie W Jul 20, 2019

Wonderful and helpful team, always willing to go the extra mile to fit you in and make sure you are happy!
Mary did a wonderful job, she is fantastic! The reception is super helpful and quick with response to any troubles you have.
Highly recommended!

Christine P Sep 10, 2019

This is the best clinic I’ve ever been to. They are lovely, explain everything to you and are very gentle. I can highly recommend this clinic

Jordan D May 26, 2019

I cannot fault Contour Clinics. From the service at reception to getting the procedure done, my experience was absolutely amazing. Dr Josh was so professional, honest and friendly. He made me very 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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