Dark Under Eye Circles

& Hollowness Treatment

One common concern among our clients is the development of tear trough deficit which create a hollowed and sagging appearance at the junction between the cheeks and lower eyelids.

What Causes Tear Trough Deformity?

Tear troughs form due to various reasons, including genetics, ageing, weight loss, or stress. The skin and soft tissues around the eyes start to lose volume, and the fat pads beneath the eyes begin to shift and bulge forward, creating a hollowing or depression below the lower eyelid. This creates a shadow that can appear as a dark circle or tear trough, giving the eyes a tired and aged appearance.

Exploring Treatment Options:

To address tear trough concerns, dermal filler injections are an effective solution. Dermal fillers help smooth the transition in the tear trough area, reducing the prominence of eye bags, hollows, and dark circles. In addition to treating the tear trough area, dermal fillers are also used in the mid-cheek area to restore volume and support.

Dark Under Eye Circles & Hollowness Treatment

The Treatment Process:

Before undergoing tear trough fillers, a comprehensive consultation is essential. During this consultation, your unique facial features will be assessed, specific concerns addressed, and a personalized treatment plan crafted. The treatment itself begins with meticulous cleaning of the chin and lower face areas using an antiseptic solution.

To ensure your comfort, a local anaesthetic is applied to numb the treatment area. At The Marr Clinic, patient comfort and safety are paramount, with the use of cannulas prioritized over sharp needles. This approach minimizes the risk of vascular occlusion.

It's crucial to understand that achieving desired results with dermal fillers in the tear trough area requires expertise regarding the depth of placement and the degree of correction. While patients may desire 100% correction, it's important to note that dermal fillers hydrate and increase in size over a few days to weeks after treatment. Hence at the time of treatment, we aim for an "under-correction" of the tear trough deficit.

Precise placement of the filler at the right depth is essential for natural-looking results, preventing the Tyndall effect, which can appear as blue discoloration of the skin. In addition, patients with excess skin and large bags under the eye areas are not suitable candidates for tear trough fillers.

Common Side Effects of Tear Trough Fillers:

Tear trough fillers are generally well-tolerated, but some common side effects may occur, such as temporary redness, bruising, swelling, asymmetrical results, filler migration, or the presence of persistent lumps. Notably, any persistent lumps or concerns regarding filler placement can be effectively addressed using hyaluronidase medication.

Serious Side Effects and Safety Measures:

Serious side effects from tear trough fillers are rare but require careful consideration. These infrequent complications may encompass bacterial or viral infections, late onset granuloma (manifesting as lumpiness and swelling months after treatment), and vascular occlusion. Vascular occlusion, although exceptionally rare, can cause changes in skin colour (blanching), prolonged pain, and, in severe cases, even lead to blindness and stroke. To mitigate this risk, The Marr Clinic employs blunt cannulas instead of needles, emphasizing safety and minimizing potential complications.

Post-Treatment Aftercare:

After your tear trough filler treatment, you may experience minor swelling, bruising, and tenderness at the injection site. These side effects are typically mild and resolve within a few days. However, if you experience significant pain or changes in skin colour, immediate assessment is crucial, as it could be a sign of vascular occlusion. There's no need to massage the treated areas, and a follow-up appointment will be scheduled for 2 to 4 weeks post-treatment.

Exploring Other Treatment Options for the Tear Trough Area: Platelet Rich Plasma (PRP)

PRP injections offer an alternative treatment for the tear trough area. PRP utilizes the healing properties of your own blood to rejuvenate the skin. This innovative procedure involves extracting a small amount of blood, isolating the platelet-rich plasma, and injecting it into the tear trough area. PRP stimulates collagen production, enhancing skin texture and tone for a smoother, more youthful appearance. Importantly, PRP is not hydrophilic, meaning it does not attract excess water to the treated areas, eliminating the risk of over-correction.


Dr May Marr Cosmetic Physician Lennox Head


Dr May Marr is a Flinders University Medical School graduate and a member of the Royal Australasian College of Physicians. She has a long-held interest in aesthetic medical procedures and evidence-based skin care. She holds a passionate belief that people should have access to procedures and products that are research-backed, ethically prescribed and skilfully delivered.

Dr Marr has trained with Dr Jacque Le Coz at the Institute of Mesotherapy in Paris. She holds an Advanced Diploma in Dermatology from the Australian Institute of Dermatology and in 2020 completed her Dermatology Fellowship.

The ethical, educational and procedural standards that Dr Marr brings to aesthetic medicine have been recognised by some of the largest aesthetic companies in the world. She holds advanced injector status and her extensive clinical experience sees her regularly called upon as an industry educator.