Tear trough treatment at Core Aesthetics uses prescription dermal filler to address hollowness or shadowing beneath the eyes. It is one of the more technically demanding filler areas and is only performed following a thorough individual assessment of suitability, as not every client presenting with under eye concerns is an appropriate candidate for direct filler treatment.
The area beneath the eyes is one of the most expressive and communicative parts of the face. When hollowness or shadow develops in this area, it creates a persistently tired or drawn appearance that no amount of sleep seems to address. For many people this is one of the most noticeable and frustrating visible signs of ageing or genetic predisposition. But tear trough treatment is not straightforward, and approaching it as though it were is one of the most common causes of unsatisfactory outcomes in cosmetic injectable practice.
At Core Aesthetics in Oakleigh, tear trough treatment is only discussed and performed by Corey Anderson, AHPRA registered nurse (NMW0001047575), following a thorough individual assessment that honestly evaluates whether direct treatment is appropriate for your specific anatomy. This is not a treatment where a conservative default applies to everyone, for some clients it should not be performed at all, and your practitioner will tell you clearly if that is the case.
What Is the Tear Trough?
The tear trough is the groove 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, or in faces with good mid face support, this transition is smooth and gradual. As volume diminishes in the mid face, as the ligamentous structures that define the eyelid to cheek junction change, or in individuals who have a naturally prominent tear trough regardless of age, the groove deepens and creates a shadow that reads as hollowness, darkness or fatigue.
The skin in this area is among the thinnest on the face and the underlying anatomy includes important vascular and lymphatic structures. This is why tear trough treatment requires careful product selection, precise placement and thorough pre treatment assessment.
Not Everyone Is a Suitable Candidate
Tear trough filler produces good outcomes in clients where the primary driver is volume deficit, skin quality is reasonable in the under eye area, there is no significant lower eyelid laxity and realistic expectations are in place. It is less appropriate where eyelid skin is very thin, where prominent orbital fat pads are pushing forward beneath the lid, or where the hollowing is primarily structural rather than volumetric. In these cases, filler can worsen the appearance rather than improve it. Your practitioner will assess which category applies to your anatomy during your consultation and will not proceed where treatment is not appropriate.
The Role of Mid Face Treatment
A significant proportion of clients who come in concerned about tear trough hollowing are best served by addressing the mid face and cheeks first. When the mid face is well supported, the transition from the lower eyelid to the cheek improves naturally, often without any direct treatment of the tear trough itself. Treating the tear trough directly in a face where mid face descent is the primary driver frequently produces an underwhelming result because the structural cause has not been addressed. This is why the assessment at Core Aesthetics always considers the full mid face anatomy in the context of any tear trough consultation.
You can read our full clinical overview of tear trough treatment on our dedicated tear trough filler page.
Located in Oakleigh, Serving Melbourne’s South East
Core Aesthetics is at 12A Atherton Road, Oakleigh VIC 3166. Accessible from Carnegie, Chadstone, Murrumbeena, Huntingdale, Bentleigh and Clayton. Open Tuesday to Saturday by appointment.
Ready to take the first step?
Book your consultation at Core Aesthetics, Oakleigh today.
Book online here
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 right for everyone?
No. Not everyone presenting with under eye concerns is a suitable candidate. Your practitioner will assess this honestly during your consultation.
Will tear trough filler remove dark circles?
It addresses hollowness and shadow from volume deficit. If dark circles are caused by pigmentation, filler alone will not address this.
Do I need mid face treatment before tear trough treatment?
In some cases yes. Mid face treatment often improves the under eye appearance without direct tear trough treatment. Your practitioner will assess this during your consultation.
How long does tear trough filler last?
Duration varies between individuals. Your practitioner will discuss realistic timelines during your consultation. You can also read our article on dermal filler longevity.
How do I book tear trough treatment in Melbourne?
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.