Tear trough treatment is a nonsurgical injectable treatment using prescription dermal filler to address hollowness or shadowing beneath the eyes. It is one of the more technically complex filler treatments and at Core Aesthetics is only performed following a thorough individual clinical assessment.
The area beneath the eyes is one of the most expressive parts of the face and one of the most sensitive to change. If you look persistently tired regardless of how much sleep you have had, or if the hollow beneath your eyes creates a shadow that makes you look older or unwell, the tear trough may be contributing to that appearance.
Tear trough treatment is one of the more technically complex areas within dermal filler treatment and at Core Aesthetics, it is only discussed and performed following a thorough individual assessment. Not everyone who presents with concerns about the under eye area is a suitable candidate for filler, and your practitioner will be honest with you about this from the outset.
What Is the Tear Trough?
The tear trough is the groove or hollow that runs from the inner corner of the eye downward and outward along the border between the lower eyelid and the upper cheek. In younger faces, this transition is typically smooth and gradual. As volume diminishes with age, or in individuals who have naturally less volume in this area, the groove deepens and creates a shadow that reads as darkness, hollowness or fatigue. The skin in this area is among the thinnest on the face, making careful assessment essential before any treatment is considered.
What Causes Tear Trough Hollowing?
- Age related volume loss in the mid face, which creates a relative depression at the lower eyelid border
- Genetic predisposition, some individuals have always had a more prominent tear trough regardless of age
- Loss of orbital fat support beneath the eyelid
- Thinning of skin in the under eye area over time
In many cases, addressing mid face volume first produces a better outcome, as the shadow at the lower eyelid often diminishes when the cheek is better supported.
The Difference Between Dark Circles and Tear Trough Hollowing
Not all under eye darkness is caused by hollowing. Shadow from tear trough hollowing can often be improved with filler. Pigmentation in the skin itself and vascular visibility from superficial blood vessels are not addressed by filler. Your practitioner will assess what is contributing to the appearance under your eyes during your consultation.
What to Expect at Your Consultation
Corey will assess the cause and nature of the hollowing, evaluate your skin quality and eyelid structure, and discuss honestly whether filler treatment is appropriate for your individual situation. Read more about what to expect at a cosmetic consultation.
Located in Oakleigh, Serving Melbourne’s South East
Core Aesthetics is at 12A Atherton Road, Oakleigh VIC 3166. Accessible from Carnegie, Chadstone, Murrumbeena, Huntingdale, Clayton and Bentleigh. Open Tuesday to Saturday by appointment.
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Frequently Asked Questions
What is the tear trough?
The groove running from the inner corner of the eye downward along the border between the lower eyelid and the cheek. When hollow or shadowed it creates a persistently tired appearance.
Is tear trough filler safe?
It is one of the more technically demanding areas for filler placement. At Core Aesthetics, this treatment is only performed following a thorough individual assessment. Not everyone is suitable.
Will tear trough filler remove dark circles?
It addresses hollowness and shadow caused by volume loss. If dark circles are caused by pigmentation, filler will not address this. Your practitioner will assess the contributing factors during your consultation.
Do I need mid face treatment before tear trough treatment?
In some cases yes. Addressing the cheeks and mid face first can produce a natural improvement in the under eye area. Your practitioner will assess this during your consultation.
Can filler make the tear trough look worse?
In the wrong candidate or with incorrect placement, yes. This is why a thorough individual assessment is essential before treatment is performed.
Is there downtime after tear trough treatment?
Swelling and bruising are relatively common and can take time to settle. Your practitioner will provide specific aftercare instructions.
How long does tear trough filler last?
Duration varies considerably between individuals. Your practitioner will discuss realistic timelines during your consultation. You can also read our article on how long dermal filler lasts.
How do I book a tear trough consultation at Core Aesthetics?
Book online via our booking page or call 0491 706 705. Core Aesthetics is at 12A Atherton Road, Oakleigh VIC 3166. Open Tuesday to Saturday by appointment.
AHPRA Registration: NMW0001047575 (Nurse, registered since January 1996) | Core Aesthetics, Oakleigh VIC 3166
All prescription treatments are assessed and administered by an AHPRA registered health practitioner. Suitability is determined individually at consultation.
Clinical References
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. Last reviewed March 2026 by Corey Anderson, Core Aesthetics.