What Is a Tear Trough?

The tear trough is the natural groove that extends from the inner corner of the eye towards the upper cheek.

In younger individuals, this transition is usually smooth and blends naturally with the surrounding tissues. As we age, facial fat gradually diminishes, collagen production decreases and supporting ligaments become more noticeable. This may result in a deeper groove beneath the eyes, creating the appearance of hollow eyes or persistent tiredness.

Not every dark under-eye is caused by pigmentation. In many cases, the shadow created by a hollow tear trough contributes significantly to the appearance of dark circles.

Understanding the cause is essential before selecting the appropriate treatment.

What Causes Tear Troughs?

Several factors may contribute to the development of tear trough deformities, including:

Natural Ageing

As collagen, elastin and facial volume decrease over time, the under-eye area may become more hollow.

Genetics

Some individuals naturally have deeper tear troughs regardless of age.

Weight Loss

Significant weight loss may reduce facial fat, making the tear trough more noticeable.

Facial Anatomy

The structure of the cheekbones, eyelids and surrounding ligaments may influence the appearance of tear troughs.

Thin Skin

Thin skin beneath the eyes may make blood vessels, muscles and underlying structures more visible.

Tear Trough vs Dark Eye Circles

Many patients believe they have dark eye circles when the actual cause is a hollow tear trough.

Although both conditions affect the under-eye area, they require different treatment approaches.

Some patients have both conditions simultaneously. During your consultation, your doctor will assess whether volume loss, pigmentation or a combination of factors is contributing to your concerns.

Who Is Suitable for Tear Trough Treatment?

You may be suitable if you have:

• Hollow under-eyes
• Sunken eyes
• Tired-looking eyes
• Mild under-eye shadows
• Volume loss beneath the eyes
• Good skin elasticity

Treatment may not be suitable for individuals with:

• Significant eye bags
• Severe skin laxity
• Active infection
• Certain medical conditions

A personalised consultation is essential to determine the most appropriate treatment option.

Treatment Options for Tear Troughs

Treatment depends on the underlying cause rather than simply filling the area.

Dermal Fillers

Dermal fillers may be used to restore lost volume and soften the tear trough, creating a smoother transition between the eyelid and cheek.

Suitable patients often experience a refreshed appearance while maintaining natural facial expressions.

Rejuran I

Rejuran I is designed specifically for the delicate under-eye area and focuses on improving skin quality, hydration and fine lines.

It may be recommended for patients with thin or crepey under-eye skin.

Skin Boosters

For dehydrated or dull skin beneath the eyes, skin boosters may improve hydration and skin texture.

Laser Treatments

If pigmentation contributes significantly to dark circles, laser treatments may be considered alongside other treatment options.

Benefits of Tear Trough Treatment

Depending on your individual concerns, treatment may help:

• Reduce the appearance of hollow under-eyes
• Create a brighter and more refreshed appearance
• Improve facial balance
• Reduce tired-looking eyes
• Smooth the transition between the eyelid and cheek
• Enhance overall facial rejuvenation

How Long Do Results Last?

The longevity of treatment varies depending on several factors, including:

• Individual metabolism
• Facial anatomy
• Treatment type
• Lifestyle
• Ageing process

Your doctor will advise you on expected treatment duration and any recommended maintenance based on your personalised treatment plan.

Is Tear Trough Treatment Safe?

Patient safety is our highest priority.

At NextMed Clinic, every treatment begins with a detailed medical consultation and facial assessment. Our doctors evaluate your facial anatomy, medical history and treatment goals before recommending any procedure.

Treatment suitability varies between individuals, and not everyone is an ideal candidate for tear trough fillers. In some cases, alternative treatments may be more appropriate.

Recovery After Tear Trough Treatment

Recovery is generally minimal.

Some patients may experience temporary:

• Mild swelling
• Bruising
• Tenderness
• Temporary redness

These effects typically improve over the following days. Your doctor will provide personalised aftercare instructions based on the treatment performed.