The area beneath the eyes, commonly referred to as the “tear trough,” can become more prominent over time. This change is generally associated with ageing and the natural reduction of skin elasticity and volume. These changes may result in a hollowed appearance, dark shadows, or visible under-eye contours.
What is a tear trough?
The tear trough is the anatomical area between the lower eyelid and the upper cheek. While some people naturally have a deeper tear trough due to genetic factors, others may notice this area becomes more pronounced with age due to changes in facial fat distribution, bone structure, and skin thickness.
This region can appear darker or more hollow due to shadows cast by skin depressions or volume loss. These concerns are commonly raised during consultations for facial aesthetic assessment.
Non-Surgical Options for Volume Loss Under the Eyes
There are non-surgical techniques available to manage volume loss in the tear trough area. One such method involves the use of a dermal filler product. These treatments may involve the use of prescription-only medicines (Schedule 4 substances), which must be prescribed and administered by a qualified health professional.
In Australia, the use of dermal fillers is regulated, and any decision to proceed with treatment should follow a face-to-face consultation with a registered health practitioner. This includes a full medical assessment and discussion of treatment options, potential risks, expected outcomes, and alternatives.
Procedure Overview
If deemed clinically appropriate by a qualified practitioner, a dermal filler may be injected in areas of the mid-face or tear trough to address volume loss. The procedure is usually performed using a small cannula or needle and may be preceded by the application of a topical anaesthetic.
Individual responses to treatment can vary. Some people may notice temporary swelling or bruising following the procedure. These effects generally subside within a few days.
Considerations and Safety
As with any medical procedure, there are potential risks and side effects. Complications may include bruising, swelling, lumpiness, infection, or in rare cases, vascular occlusion. Serious complications, including tissue damage or vision impairment, are extremely uncommon but have been reported.
It is important to discuss all potential risks with your treating practitioner, including any relevant medical history that may impact the safety or suitability of the treatment.
The safety and effectiveness of this treatment depend on proper assessment, practitioner training, and sterile technique. Patients are advised to seek treatment from qualified, registered health professionals with experience in facial anatomy and aesthetic procedures.
Suitability
Not all individuals will be suitable candidates for this treatment. Factors such as skin thickness, the presence of excess skin or fat, and certain medical conditions may influence whether a dermal filler is an appropriate option.
A thorough consultation with a registered health practitioner is required before any treatment can be offered. This will include a full discussion of potential benefits, limitations, and risks.
Post-Treatment Care
Aftercare instructions are typically provided by the practitioner following treatment. These may include avoiding strenuous activity, applying cold compresses, and refraining from touching or applying pressure to the treated area.
Patients are advised to follow all post-procedure recommendations and to contact their treating practitioner if they experience any concerning symptoms.
Duration of Effect
The longevity of effect from a dermal filler treatment varies based on the individual, the type of filler used, and the treatment area. In the tear trough region, effects may last longer than in more mobile areas of the face. However, maintenance treatments will be required over time to sustain the results.
