Consultation

Tear Trough Consultation Melbourne

Core Aesthetics offers tear trough consultations at their Oakleigh clinic. The tear trough is technically demanding and individual anatomy assessment is always the first step.

Quick summary

This page provides clinical information relevant to aesthetic treatment at Core Aesthetics in Oakleigh, Melbourne. All treatment follows a standalone consultation with Corey Anderson (RN, AHPRA NMW0001047575). No treatment is offered at a first appointment.

A tear trough consultation at Core Aesthetics is an individual clinical appointment with Corey Anderson, AHPRA registered nurse. Every consultation involves assessment of under eye hollowing, tear trough anatomy and overall periorbital area. No treatment is recommended without a thorough individual assessment and there is no obligation to proceed at any stage.

What Happens at a Tear Trough Consultation

Your consultation begins with a conversation about your concerns and goals. Corey will ask about your medical history, any previous treatments and what you are hoping to address. He will then assess the relevant facial anatomy directly, examining the area in question in the context of the full face.

“There is no obligation to proceed. The consultation is where the honest conversation happens.”

The Assessment Process

The recommendation you receive is based entirely on this clinical assessment. Corey will explain clearly what he observed, what he recommends, why he recommends it and what the realistic outcome is for your individual anatomy. If treatment is not appropriate for your situation, that is what you will be told.

No Obligation to Proceed

The consultation at Core Aesthetics is a clinical assessment, not a sales appointment. You are welcome to take time to consider the recommendation before booking treatment. If you decide not to proceed, there is no pressure to do so. Treatment is only performed with your fully informed consent.

About Tear Trough Treatment at Core Aesthetics

Read our full overview of under-eye treatment at Core Aesthetics for detailed information about the treatment approach, what to expect and how the area is assessed.

About Corey Anderson

Corey Anderson is an AHPRA registered nurse (NMW0001047575, registered since January 1996) and the founder and sole treating practitioner at Core Aesthetics. Every client who books at Core Aesthetics is seen by Corey directly for every appointment. Verify his registration at coreaesthetics.com.au/verify.

Why Tear Trough Assessment Is Detailed

The tear trough is one of the most technically demanding areas in aesthetic treatment. The delicate anatomy of the under eye region, the proximity to the orbital rim and the complex interaction between the lower eyelid, the cheek and the tear trough itself mean that accurate assessment is essential before any treatment recommendation is made. Not every client presenting with under eye concerns is an appropriate candidate for direct under-eye treatment.

At Core Aesthetics, Corey Anderson, AHPRA registered nurse, conducts a thorough tear trough assessment that includes skin quality, the degree and pattern of hollowing, the relationship to the cheek and mid face and whether tear trough treatment or mid face treatment would be the more appropriate approach for the individual anatomy.

Who Is Suitable for Tear Trough Treatment?

Clients with good skin quality and hollowing that is primarily structural in origin tend to be the best candidates for under-eye treatment. Clients with thin or loose under eye skin, significant orbital fat prolapse or a concern that is primarily related to pigmentation rather than volume loss may not be appropriate candidates, or may achieve better results through a different approach. The assessment at Core Aesthetics determines which category applies to the individual.

What the Consultation Covers

Corey will assess the full orbital and mid face area, take a thorough medical history and discuss your concerns and goals. He will explain what treatment can and cannot achieve for your specific anatomy and will recommend the most appropriate approach based on what the clinical assessment indicates. There is no obligation to proceed and no treatment is performed without your fully informed consent.

Read more about tear trough treatment at Core Aesthetics and about tear trough aftercare.

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Open Tuesday to Saturday by appointment.

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General Information Only. This article is general in nature and does not replace a consultation with a qualified health practitioner. Treatment outcomes, suitability and risks vary by individual. Any medical or prescription treatment options can only be discussed and provided where clinically appropriate following an individual assessment.

Book your tear trough consultation at Core Aesthetics, Oakleigh.
Open Tuesday to Saturday by appointment.

Book Online

General Information Only. This article is general in nature and does not replace a consultation with a qualified health practitioner. Treatment outcomes, suitability and risks vary by individual. Any medical or prescription treatment options can only be discussed and provided where clinically appropriate following an individual assessment.

Safety, Suitability and Clinical Assessment

All aesthetic treatment procedures carry risk. The suitability assessment at consultation identifies any contraindications or relative risk factors specific to your circumstances, including medical history, current medications, previous procedures, and anatomical features that may affect the risk profile for a given treatment area. This information is reviewed before any treatment is planned.

For certain conditions and medications, injectable treatments are not appropriate, or require modification of technique or timing. For others, the treating practitioner may recommend that you consult with your primary healthcare provider before proceeding. These are clinical judgements that can only be made with accurate, complete medical history information, which is why the consultation history taking process is thorough.

Complication recognition and initial management are part of the clinical competency required of practitioners performing injectable treatments under AHPRA’s September 2025 guidelines for nonsurgical cosmetic procedures. The practitioner at Core Aesthetics holds current training in this area and maintains the relevant management supplies on site. Understanding that risk exists and is actively managed is more useful than assuming risk does not exist.

Review Appointments and Ongoing Care

A review appointment at four to six weeks is a standard part of every treatment cycle at Core Aesthetics. The review is not contingent on whether you have concerns, it is a clinical standard that applies to every patient. At review, the practitioner assesses the result across all treated areas, compares the outcome to the pretreatment clinical photographs, identifies any asymmetry or variation in response between sides, and determines whether any adjustment is appropriate within the same treatment cycle.

The review is also where longitudinal data about how your specific anatomy responds to treatment is recorded. Over multiple treatment cycles, this accumulated data allows the practitioner to refine the dosing and approach to better match your individual response pattern, which is one of the most significant advantages of maintaining a consistent treating practitioner rather than moving between clinics.

If you have any concerns in the period between your treatment and your review appointment, contact the clinic directly. The practitioner who treated you has the clinical context to respond accurately to any post treatment question, which is preferable to relying on general online information that may not reflect your specific situation.

What the Assessment Covers

The assessment at the consultation appointment is a face wide evaluation, not a focused review of only the area you have identified as a concern. This full face approach is deliberate: anatomical features interact with each other, and addressing one area in isolation, without understanding the broader facial context, can produce results that look disproportionate even when the individual area was technically treated well.

The practitioner evaluates facial symmetry, bone structure, soft tissue distribution, skin quality, and the dynamic movement patterns associated with each treatment area. The history taking covers your current medications, any previous injectable or surgical procedures, relevant health conditions, and any prior reactions or complications. From this assessment, the practitioner develops a treatment plan that reflects your specific anatomy and circumstances.

Results vary between individuals. What the assessment finds in one patient may be different from what it finds in another patient with a similar presenting concern, which is why templated treatment protocols are not used here. All treatments at Core Aesthetics are consultation based and individually assessed.

How Facial volume treatment Is Used as a Structural Tool

Facial volume treatment is often described in terms of volume, adding more to make something look bigger. This framing misrepresents how volume treatment functions in skilled clinical practice. Volume treatment is a structural tool. It can restore lost support in areas where facial volume has diminished with age. It can define a contour that was never clearly pronounced. And in some cases it can shift the proportional relationships between facial regions in a way that changes how the face reads overall.

Volume, in the sense of visible fullness, is sometimes a goal. But the mechanism is anatomical. Volume treatment placed in the right tissue plane, at the right depth, with an understanding of the surrounding anatomy, produces a different result than volume treatment placed superficially to fill a surface irregularity. This is why technique, placement, and clinical knowledge matter far more than product selection.

At Core Aesthetics, treatment decisions are based on a full facial assessment. Corey evaluates the face as a whole before deciding whether volume treatment is appropriate, where it would be most effective, and what volume would be consistent with a proportionate outcome. This assessment may lead to a recommendation not to treat, and that outcome is equally valid.

Understanding Facial Volume Loss and Why It Matters

The face changes with age through a combination of processes: bone resorption, fat pad redistribution, muscle changes, ligament laxity, and skin quality decline. These processes do not happen uniformly or at the same rate in different people. Two people of the same age may present very differently because of genetics, lifestyle, sun exposure, and individual anatomical variation.

Volume loss is one of the most clinically significant contributors to an aged appearance. When the structural support provided by subcutaneous fat and bone diminishes, the overlying skin is no longer held in place by the same framework. Features that once appeared well defined become less distinct. The relationship between facial thirds can shift. Hollowing in specific areas, the cheeks, the temples, the under eye region, creates shadows and contours that are often interpreted as tiredness or loss of vitality.

Understanding the underlying anatomy is essential to treating it appropriately. Volume treatment placed to address a surface concern without accounting for the structural deficit beneath it will produce a less effective and less enduring result. The consultation process at Core Aesthetics focuses on identifying the anatomical contributors to the concerns you have raised, not just addressing the surface appearance.

The Assessment Process Before Any Volume treatment

At Core Aesthetics, the consultation for facial volume treatment is a structured clinical appointment, not a sales conversation. Corey assesses the face in three dimensions, at rest, during movement, and from multiple angles. The goal is to understand the structural landscape of your face before deciding where, how much, and whether volume treatment is the right approach.

Key aspects of the volume treatment assessment include evaluating facial symmetry and identifying natural asymmetries that should be preserved or addressed; assessing the depth and distribution of any volume deficit; reviewing skin quality to determine how volume treatment would integrate; and discussing your goals in the context of what is anatomically achievable. For some concerns, volume treatment alone is sufficient. For others, a combination of treatments, or a different approach entirely, may be more appropriate.

You will leave the consultation with a written treatment plan that documents the assessment findings, the proposed approach, and the expected outcomes. Treatment is scheduled at a separate appointment, allowing time to consider the plan, ask further questions, and make an informed decision without any time pressure.

Dissolution, Complications, and Revision

Hyaluronic acid volume treatments are reversible. If a complication arises, if the result is unsatisfactory, or if a patient wishes to return to their baseline, hyaluronidase enzyme can be injected to dissolve the volume treatment. This is an important safety feature that distinguishes hyaluronic acid products from permanent or semi permanent volume treatments, which cannot be dissolved.

Dissolution does not always produce an immediate return to the pretreatment state. The process requires time, and in some cases more than one dissolution treatment. Swelling from the dissolution procedure can temporarily alter appearance. Corey will explain this clearly at consultation so that patients understand what reversal involves before they commit to treatment.

At Core Aesthetics, only hyaluronic acid formulations are used for facial volume treatment, the reversibility of these products is a deliberate clinical choice. Emergency protocols for vascular occlusion, the most serious potential complication of volume treatment, are maintained at the clinic. Patients are briefed on the signs of this complication and given emergency contact instructions as part of every treatment appointment.

Is this for you?

Consider booking a consultation if

  • You want an unhurried clinical conversation before any treatment is considered
  • You are 18 or older and weighing whether aesthetic treatments are right for you
  • You want to understand risks, realistic expectations, and the regulatory framework that applies to aesthetic treatments in Australia
  • You want a written record of what was discussed, considered, and recommended

This may not be for you if

  • You are seeking same day treatment without an assessment
  • You are under 18 years of age
  • You expect a clinic that prescribes a treatment plan before meeting you

Suitability is confirmed at consultation. This list is general guidance, not a substitute for clinical assessment.

Frequently asked questions

What does the tear trough consultation specifically assess?

Under eye volume, mid face support contribution to the visible hollow, skin pigmentation versus shadow, lower eyelid bag presence, lymphatic factors, and whether direct treatment, mid face support, or no intervention is the appropriate response. Results vary between individuals.

Why does the consultation often pivot to mid face?

Many tear trough hollows are downstream of mid face volume change rather than under eye hollowing in isolation. Restoring cheek support can reduce the appearance of the tear trough hollow indirectly, often more effectively and safely than direct under eye treatment. Results vary between individuals.

Is everyone with tear trough concern suitable for direct under eye treatment?

No. The under eye anatomy carries more risk than most facial regions. Lymphatic factors, prolapsed under eye fat, thin skin with visible vasculature, and dynamic patterns can all make direct treatment inappropriate. Some consultations recommend deferring. Results vary between individuals.

What does the consultation cover regarding bruising and recovery?

The under eye area has a rich blood supply and bruising is more common here than in most areas. pretreatment substances to avoid, post treatment expectations, and the realistic settled result timeline (four to six weeks) are all discussed in detail. Results vary between individuals.

How does the consultation handle clients with prior tear trough work?

Carefully. Older volume treatment in the under eye area can persist longer than expected, accumulate, or migrate. The assessment looks at residual product, the current state, and whether new treatment is appropriate or whether reduction or waiting is the better answer. Results vary between individuals.

Does the consultation cover under eye darkness from pigmentation?

Yes, pigmentation darkness does not respond to volume treatment and can be made more visible by adding volume. The conversation distinguishes between volume driven shadow (volume treatment may help) and pigment driven darkness (volume treatment will not help, may worsen). Results vary between individuals.

Should I get facial volume treatment if I am not certain I need it?

Uncertainty about whether treatment is appropriate is a valid reason to book a consultation rather than treatment. A clinical assessment can clarify whether volume loss, structural descent or skin quality change is the primary driver of what you are noticing, and whether injectable volume treatment is the right approach. Treatment is never assumed at assessment.

Is it safe to have facial volume treatment while pregnant or breastfeeding?

Prescription injectable products are not recommended during pregnancy or breastfeeding. There is insufficient safety data on these products in pregnant or lactating individuals, and the precautionary standard is to defer treatment until after this period. If you are pregnant, planning pregnancy, or breastfeeding, please discuss this at your consultation.

Clinical references

  1. AHPRA: Guidelines for nonsurgical cosmetic procedures
  2. TGA: Regulation of aesthetic treatments in Australia

Written and reviewed by Corey Anderson RN, AHPRA NMW0001047575 · Reviewed April 2026 · Consultation required · TGA & AHPRA compliant

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