Tear duct trough flaws have many causes, such as, ageing, genetics, pigmentation, lack of sleep and lifestyle. Sagging of the skin under the eye can also be caused by loss of facial fat. As we mature in years the malar fat pad which is adjacent to the nose and below the eye shrinks and drops and this causes fat reduction under the eye, causing darkening in the area and a loss of volume.

The darkness in the area is often caused by the shadowing of the underlying muscle and blood vessels which shows through the semi-translucent skin.

Tear Duct Trough Treatment


Frequently Asked Questions

  • Queensland’s largest cosmetic clinic, Cosmetic Image Clinics in our award winning Aquarius Health and Medispa, voted best Medispa for 2014 by the Australasian Spa Association is owned and operated by Dr Ingrid Tall who has over 20 years of experience in the cosmetic medicine industry. This expertise in the cosmetic industry counts and dermal fillers and muscle relaxant therapy is the backbone of our business.

    So whether you want to alleviate those dark circles, bags or hollows under your eyes using non-surgical dermal fillers, then make Queensland’s largest cosmetic clinic, Cosmetic Image Clinics your preferred provider.

  • Often many people blame those dark circles under the eyes on tiredness and lack of sleep or a ‘big night out’. In fact, mostly these dark circles and bags under the eyes are caused by genetics and often run in the family. In some cases though, it can be attributed to ageing, lack of sleep and lifestyle.

  • Traditionally dermal fillers are injected into the hollows under the eyes or into the tear duct trough.

    It is important not to use too much filler in this area due to the risk of over inflation during the next two to six weeks with the filler attracting water into the area.

    Nowadays we know ‘less is more’ and it is important to under correct the area with dermal filler to allow the dermal filler to slowly absorb water over the next two to four weeks. This gradually plumps up the area. A specific filler is recommended for this area which has a lower water absorption tendency than the other fillers in the market.

    You can often see an immediate slight improvement after the procedure; however it is a gradual process where water is absorbed into the area. It is difficult to predict how much water will be absorbed into the dermal filler in that area therefore an improvement, not ‘perfection’ can only be expected.

    It is very important to have realistic expectations of what can be achieved. Because the water absorption into the dermal filler is a slow process, patients sometimes quickly ‘forget’ how they looked prior to the filler and do not appreciate the difference until they look at their ‘before’ photos.

  • There is a risk of bruising and swelling

    There is also the risk of overcorrection with increased absorption of water which can create in itself a swelling and exacerbate the bagginess.

    It is a very rare occurrence to cause visual impairment in this area due to this procedure, however this is naturally a concern for people when they are having injections near their eyes.

  • People often expect this procedure to be very painful due to the proximity to the eyeball which is a sensitive organ, however the skin below the eye is surprisingly much less sensitive and tear duct trough treatment is usually a comfortable procedure.

    Often numbing cream can be used for approximately half an hour before but is not necessary.

Before & After Gallery