The tear trough is the groove that runs from the inner corner of the eye down towards the cheek. When this area becomes hollow or loses support, it can create shadows that make the under-eye look darker or more tired.

Several factors can contribute to this:

• natural anatomy
• volume loss in the mid-face
• thinning skin
• genetics
• pigmentation
• lifestyle factors such as sleep, stress or allergies

Because multiple factors can be involved, not every under-eye concern is best treated with filler. This is why proper assessment is essential before deciding on treatment.

For suitable candidates, tear trough filler can restore support to the under-eye area and reduce the appearance of hollowing.

At Alien Aesthetics we use Teoxane Redensity II, a dermal filler specifically designed for the delicate under-eye region.

This product has a unique formulation intended to integrate smoothly into the tear trough area, helping to soften the transition between the lower eyelid and the cheek.

Tear trough filler works by:

• restoring volume where hollowing has developed
• reducing shadowing under the eyes
• improving the transition between the eyelid and cheek

Because of the vascular anatomy in this area, tear trough filler should only be performed by experienced medical practitioners with advanced anatomical knowledge.

Polynucleotides are an alternative treatment that focus on improving the quality and strength of the skin rather than adding volume.

These treatments work by stimulating tissue repair and collagen production, making them particularly helpful for:

• thin under-eye skin
• crepey texture
• early signs of ageing
• under-eye dullness

Polynucleotides are often recommended when the issue is skin quality rather than volume loss, or when filler would not be appropriate.

PRP is another regenerative option for the under-eye area.

This treatment uses your own blood, which is processed to isolate platelet-rich plasma before being injected back into the skin. PRP contains growth factors that can support skin repair and improve overall skin quality.

PRP is often chosen by clients who:

• prefer a regenerative treatment
• are not suitable candidates for filler
• want to improve skin quality around the eyes

Head back to our PRP treatment page to learn all about this treatment!

The tear trough area is one of the most technically demanding areas in aesthetic medicine. The skin is extremely thin and the region contains important blood vessels that supply the eye and surrounding tissue.

For this reason, we always require an in-person consultation before approving tear trough treatment.

During this assessment we evaluate:

• your under-eye anatomy
• the cause of your dark circles or hollowing
• skin quality
• mid-face support
• whether filler, polynucleotides or PRP would be most appropriate

In some cases we may advise against filler and recommend a different treatment instead.

Our priority is always choosing the safest and most effective option for the individual.

Tear trough filler can produce excellent results for the right candidate, but it is not appropriate for everyone. The under-eye area is delicate and the success of treatment depends heavily on anatomy and the underlying cause of the concern.

During your consultation we carefully assess whether filler is likely to improve the area safely.

Tear trough filler may not be recommended if:

• the under-eye concern is caused primarily by pigmentation rather than hollowing
• there is significant under-eye puffiness or fat pads
• the skin in the area is very thin or loose
• there is significant mid-face volume loss that needs to be treated first
• there is existing filler that has migrated or requires correction

In these cases we may recommend alternative treatments such as polynucleotides, PRP or mid-face support instead.

Our priority is always recommending the treatment that will give the safest and most appropriate outcome, rather than performing a treatment that is unlikely to improve the area.