What are under-eye hollows / tear troughs?
Under-eye hollows, also known as tear troughs, refer to the groove between the lower eyelid and the upper cheek. When this area deepens, it can create shadows or a sunken appearance under the eyes. This may result in a tired look, even when well-rested.
Many Australians search for safe and effective ways to support the appearance of the tear trough area and reduce signs of shadowing or volume loss.

What causes under-eye hollows / tear troughs?
Several factors contribute to the development or worsening of tear troughs:
Cause #1 – Ageing
With age, the body naturally loses collagen, fat and bone density in the mid-face. This can lead to reduced structural support and a more prominent hollow under the eye.
Cause #2 – Genetics
Some people are born with a more defined tear trough area due to facial structure or inherited skin characteristics. Tear troughs are often seen in multiple members of the same family.
Cause #3 – Skin Thinning
The skin under the eyes is naturally thin and may become thinner over time due to sun exposure, lifestyle choices and natural ageing. As this occurs, underlying structures become more visible, which can exaggerate hollowing or pigmentation.
Cause #4 – Cheek Volume Loss
Loss of volume in the cheeks can reduce support for the under-eye area. This creates a sharper transition between the lower eyelid and mid-face, casting a shadow and contributing to the hollow appearance.
Cause #5 – Fat Pad Descent
As facial fat pads shift lower with age, the under-eye region may appear more hollow and less supported.
Does everyone get tear troughs?
Why do I have them and others don’t?
Not everyone experiences visible tear troughs. Several factors influence how and when they appear:
Factor #1 – Facial Structure
The shape of your cheekbones, eyes and mid-face determines how prominent the area looks.
Factor #2 – Genetics
Family history plays a significant role in whether tear troughs appear early or are more defined.
Factor #3 – Age-Related Volume Loss
Tear troughs can become more obvious over time due to collagen, fat, and bone loss which are all part of the natural ageing process.
Factor #4 – Skin and Lifestyle Care
Poor skincare habits, dehydration, lack of sun protection, and smoking can speed up volume loss and skin thinning in the under-eye area.
Frequently Asked Questions
What is the best treatment for tear troughs in Australia?
There is no single best option, as suitability depends on individual factors such as anatomy and the underlying cause of the concern. Some people explore professional treatments that may help support skin quality or volume under the eyes. Others may consider surgical options in more advanced cases.
These procedures must be carried out by qualified healthcare professionals, such as doctors, nurses, or dentists. A consultation is essential to discuss your individual goals and determine what may be appropriate for you.
Are tear trough treatments safe?
All medical procedures carry risks. It’s important to discuss your individual concerns and medical history with a qualified healthcare practitioner before deciding on any treatment. The under-eye area is delicate, so treatments in this region should only be performed by someone trained in facial anatomy with appropriate qualifications.
Can tear troughs be removed permanently?
No procedure can guarantee permanent results, as changes in the under-eye area are influenced by factors such as ageing, genetics, and lifestyle. Some surgical options may provide longer-lasting improvement for certain individuals, while non-surgical approaches generally offer temporary results and may require maintenance over time.
It’s important to consult a qualified healthcare professional to discuss your individual concerns and understand which options may be appropriate for you.
Are tear trough treatments covered by Medicare in Australia?
Treatments for cosmetic purposes are not usually covered. Always check with your healthcare provider.
