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Tear Trough

The tear troughs are the depressions running from the nose up to the under-eye area. Over time, this area of the face tends to sag into wrinkles, and dark circles or hollows may appear. Dark under-eye or under-eye hollows are a common concern. Many people feel that this area of their face makes them look older or more tired than they really are.

There are many causes of tear trough imperfections. Genetics, lack of sleep, lifestyle and ageing all contribute to sagging in this area. Sagging can be caused by the loss of facial fat in the under-eye and cheek area. It can also result from loosening ligaments, and some people are simply born with a shallow bone structure and lack of fat in this area. Because the skin here is quite thin, it has a tendency to show the effects of ageing sooner than the rest of the face. A non-surgical tear trough treatment can alleviate these effects.

  • Tear Trough Treatment
    1 ml with Dermal Filler.
    *Please note that this price is applicable across all b clinic locations excluding Queen St, Brisbane City Clinic.

Treating Tear Trough Imperfections

A tear trough treatment involves the injection of dermal filler above the eye socket bone. This filler is then massaged into the fatty tissues underneath the eye, filling in this depression from inside the skin. The treatment can rejuvenate the appearance of this area by plumping up hollow under-eye areas while concealing dark circles by filling in the loose skin.

Who Is Suitable to Have This Treatment?

Most candidates for this treatment are in their mid-30s or older. They seek a tear trough treatment as a way to combat some of the signs of ageing. Clients often complain that the appearance of their under-eye area makes them look more tired than they feel. Under-eye filler treatments may also be performed on younger patients with genetic tear trough imperfections. If you are interested in finding out whether this treatment is right for you, schedule a free consultation with one of our experienced practitioners.

Benefits of Tear Trough Fillers

Many clients are surprised when they find out dermal fillers can provide improvement to the appearance of the tear troughs without undergoing invasive cosmetic surgery. Tear trough dermal fillers offer several advantages, including:

Look Refreshed

Dark circles under the eyes caused by hollows can make you appear older and tired, no matter how much sleep you have had the night before. As the body ages, tear troughs can become deeper and more profound due to volume loss. Restoring this lost volume using dermal fillers, may help you look more refreshed. 


A tear trough treatment typically takes less than an hour at the clinic. After your procedure, you’ll see an immediate improvement. Over the next few days, any mild bruising or swelling will subside, and your results will look even better. The procedure doesn’t require any extensive downtime, and for the majority of clients, the only discomfort is a sensation of pressure as the filler is applied. 


While adding volume to the tear troughs using filler won’t last as long as a surgical procedure, clients can expect results to last from 6 months up to 18 months. You can return to the clinic for a follow-up treatment to maintain your results every 6 to 12 months.

*Individual Results May Vary

What to Expect

The treatment involves an injection of dermal filler into the under-eye area. Often, only 1ml of dermal filler is needed, with half a millilitre or less injected under each eye. 

Some patients undergo a second treatment 6-9 months after the first to achieve the best gradual improvement to their appearance. 

A third treatment several months later may also be recommended to achieve the desired effect.

Each injection session takes place in our doctor’s clinic and requires less than an hour of your time. Only highly qualified, extensively trained medical professionals should administer dermal fillers in the tear troughs. 

The injectable filler contains an anaesthetic, making this treatment extremely well-tolerated. Clients usually feel a slight pinch when the needle enters their skin. A single blunt cannula or multiple small injections may be placed in the under-eye area to fill in the volume deficit evenly. Immediately following the injections, you are free to leave our clinic.

No downtime is needed following a tear trough treatment. Patients can return to work and other daily activities immediately. The results are visible instantly and usually last anywhere between 6 months and 18 months.

How Long Do Tear Trough Fillers Last?

The longevity of tear trough fillers depends on the individual and the type of filler used. Results typically last from 6 months up to 18 months. If you have a fast metabolism, your body will absorb the filler product quicker. Most people are happy with their look for around 12 months before needing to return to the clinic for a top-up treatment. 

How Much Filler Do I Need for Tear Troughs?

The amount of filler product required depends on the individual, and the amount of volume lost in the tear troughs between the eyes and cheeks. For most of our clients at b clinic, half a ml of filler each side is usually enough to achieve the desired results. During your follow-up consultation, we may recommend an additional appointment to add more filler to achieve your desired look. 

Does Tear Trough Filler Get Rid of Dark Circles?

Many factors can cause dark circles under the eyes. Tear trough filler can be an effective treatment if your dark circles are caused by shadowing due to hollows. As the body ages, it produces less collagen and the fat compartments in the face begin to drop. This can be particularly noticeable in the under-eye area and appears as a hollow above the cheek. When the light catches the hollows, dark circles appear under the eyes that result in a tired and aged appearance. 

Dermal fillers can restore the volume in the under-eye area to eliminate these dark circles and create a smoother contour between the eyes and cheeks. If your dark circles are caused by pigmentation, allergies, or lack of sleep, under-eye fillers are not a suitable treatment. During your consultation at b clinic, your clinician will determine whether dermal fillers are the right treatment for you. 

Does Dermal Filler Cause Sagging?

Under-eye filler will not stretch the skin or cause sagging once the body has naturally absorbed the filler. Tear trough fillers are used to restore lost volume to the hollows in the under-eye area. The skin has already had this volume previously, so the volume added by dermal fillers does not stretch or cause additional sagging. Once the filler has been broken down, you can expect the area to look the same as it did before the tear trough filler treatment. There is a possibility of puffiness if the filler is not injected correctly or if too much product is used. You should always choose an experienced practitioner for any injectable procedures to minimize the risk of any complications or side effects.

Are Tear Trough Fillers Painful?

Tear trough fillers are a non-invasive cosmetic procedure that is pain-free. A topical anaesthetic will be applied to the area before treatment, and a cannula may be used to administer the filler rather than a needle. You may feel some pressure as the cannula is positioned, but the discomfort is mild and doesn’t last long. Most clients report tear trough fillers as less painful than anti-wrinkle injections. 

Is There Any Downtime?

There is no downtime after an under eye dermal filler treatment. You don’t need to reschedule any social events or take time off from work. Most clients return to their regular daily routine immediately after the procedure. 

A blunt cannula may be used to apply the filler to the tear troughs and reduce the risk of side effects. If you do encounter any mild bruising or swelling, you can apply makeup to conceal any visible signs of treatment. Any side effects should subside within 48 hours of treatment. 

Is There Anything I Should Avoid Before and After My Tear Trough Treatment?

In the week before your tear trough treatment, you should avoid any supplements or pain killers that could increase the risk of bruising or bleeding, such as ibuprofen, aspirin, vitamin E and fish oil. It’s also recommended that you stop using any facial products that contain retinol and glycolic acid to avoid the risk of irritation in the area.  

After your tear trough treatment, you should avoid any strenuous exercise for 48 hours. It’s also recommended that you don’t use any saunas or take a hot shower for 24 hours post-procedure. For two weeks after treatment, you shouldn’t undergo any facials or peels to allow the skin in the cheek and eye area to heal and settle.

Possible Risks and Complications

All risks and potential complications will be discussed during your complimentary consultation with your treating practitioner.

The treatment tends to cause mild redness, tenderness, bruising and swelling. 

These effects usually dissipate within a week of treatment and can be camouflaged with makeup. The success rate of this treatment is very high, and major long-term side effects are rare. In some cases, the injected filler causes a lump or bump underneath the skin around the tear troughs. 

This can usually be massaged away if caught during the treatment visit and will dissipate on its own over a period of weeks.

How Much Does Tear Trough Filler Cost?

Many patients are satisfied with the results of a 1ml injection. 

Others require additional injections to achieve optimal results, either at the same appointment or in a follow-up visit several months later.

When it comes to advanced dermal filler treatments such as tear troughs, your practitioner will conduct a total face assessment during your free consultation and provide you with a customised quote. This allows your practitioner to create a bespoke treatment plan based on your aesthetic needs and desires.