Tear Troughs

Tear Trough Treatments

Under-Eye Rejuvenation

Refresh and Restore Balance to the Eye Area

The under-eye region is one of the most common aesthetic concerns, with many people noticing changes such as dark circles, hollowness, or puffiness—even from a young age. Over time, these features can become more visible, contributing to a tired or less refreshed appearance.

What Are Tear Troughs?

Tear troughs are natural contours that begin at the inner corner of the eye and extend downward and outward toward the upper cheek. Some individuals also have lateral tear troughs, which begin near the outer corners of the eyes and curve inward. As these contours deepen, they can create shadowing and make the eyes appear less luminous.

Approaches for the Under-Eye Area

At The Manse, we offer tailored, non-surgical aesthetic options for the delicate under-eye area. These approaches are designed to support skin quality and restore smoother transitions between facial features.

Treatment plans may include techniques aimed at:

• Softening the transition between the lower eyelid and cheek

• Minimising the appearance of shadowing or hollowness

• Enhancing overall texture and radiance of the skin

Your practitioner will carefully assess your facial structure, skin condition, and goals to create a personalised treatment plan that supports a refreshed and balanced appearance.

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Note: For concerns related to fine lines from facial movement around the eyes, visit our page on eye wrinkle treatments for further options.

Tear Trough Rejuvenation

Tear troughs are the natural grooves or hollow areas that run from the inner corners of the eyes downward and outward toward the cheeks. In some individuals, similar contours form starting from the outer eye corners, referred to as lateral tear troughs. These features can sometimes make the eyes appear less bright or more shadowed, even when you’re well rested.

Our Approach

At our Sydney clinic, we offer advanced, non-surgical aesthetic options for the under-eye area. Our approach focuses on creating smoother transitions and refreshed balance beneath the eyes.
We carefully select suitable products and techniques for this delicate region—those with refined texture and a soft, natural-looking finish.

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How the Process Works

We typically use a gradual approach for under-eye rejuvenation to support subtle, natural-looking outcomes while reducing the chance of side effects such as temporary puffiness, discolouration, or uneven texture.

Our standard treatment plan includes:

• Session 1: Initial application

• Session 2: 4 weeks later

• Session 3: 4 weeks after that

• Maintenance: Optional periodic refreshers if desired

This method allows for progressive refinement, giving the skin time to adapt between sessions.

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Supporting Treatments

The appearance of the under-eye area can be influenced by both skin quality and underlying structure. To complement this treatment, your practitioner may recommend additional skin-focused options such as:

• Hydration-based skin boosters

• Laser or energy-based resurfacing

• Microneedling with radiofrequency

• Plasma-based skin regeneration

• Platelet-rich plasma (PRP) therapy

These approaches may help support skin texture, tone, and elasticity—creating a healthy foundation for a smoother-looking under-eye area.

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Comfort During Treatment

Your comfort is a priority at every stage:

• A topical anaesthetic cream is applied before treatment

• Ice is used to reduce sensitivity and minimise bruising

• In some cases, a small amount of local anaesthetic may be used

• Nitrous oxide (“happy gas”) is available if preferred

Both fine-needle and cannula techniques may be used for precision, depending on your individual plan and anatomy.

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What to Expect Afterward

Mild redness, swelling, or small red marks at the entry points are normal and usually resolve within 48 hours. If a cannula is used, bruising is generally less common.

Because we perform under-eye treatments gradually, the changes appear subtle and natural over time. This approach helps avoid common issues that can occur from overcorrection, such as unevenness or visible tinting under the skin.

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Risks and Considerations

As with any aesthetic procedure, risks are uncommon but possible. These may include:

• Temporary bruising or swelling

• Minor discolouration (e.g. Tyndall effect)

• Mild asymmetry due to natural facial variation

• Infection (rare)

• Vascular complications (extremely rare)

In very rare instances worldwide, vision-related issues have been reported with similar procedures. Your practitioner will discuss all risks and safety measures in detail during your consultation.

We adhere to strict safety protocols and take a conservative, evidence-based approach to help achieve natural, balanced results.

After Under-Eye Rejuvenation

What to Know Following Your Treatment

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Post-Treatment Care Instructions

To support healing and reduce the risk of side effects, please follow these guidelines:

• Avoid applying makeup to the area for at least 4 hours

• No intense exercise on the day of treatment

• Skip acid-based skincare products (e.g., AHAs, BHAs, retinol) for 24 hours

• Avoid spas, saunas, and hot yoga for one week

• Use a cold compress if needed to reduce swelling

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What to Expect After Treatment

• You may see a visible improvement immediately after the session

• Swelling is normal and generally subsides within 2–3 days, though mild swelling may linger for up to 2–4 weeks

• Bruising, if it occurs, typically resolves in 7–8 days

• Small red dots or mild tenderness at the entry points are common and temporary

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Managing Asymmetry

It’s important to note that the under-eye area is naturally asymmetrical in many people. After treatment, one side may initially appear different due to uneven swelling or bruising. This usually resolves on its own by the 4-week mark.

If asymmetry persists at the time of your review appointment, further refinement may be considered. Early adjustments are not recommended, as swelling can distort the final result and premature correction may lead to over-treatment.

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How Long Will Results Last?

Longevity varies from person to person and depends on factors like:

• Individual anatomy and metabolism

• Placement technique

• Product selection

• Number of treatments

At our clinic, we follow a staged protocol for tear trough treatments, usually involving three sessions spaced one month apart, followed by annual maintenance to support long-term results.

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Pricing & Results

• Treatment is priced per session

• Please see our pricing page for up-to-date cost information

• View our before and after gallery to see real patient results

Threads as an Alternative Option

For some individuals, collagen-stimulating threads may be considered as an alternative or complementary option for the under-eye region. Threads are placed just beneath the skin to provide gentle structural support while stimulating the body’s own collagen production over time. This can assist in refining skin texture and promoting smoother transitions between the lower eyelid and upper cheek. Your practitioner will assess your anatomy and goals to determine whether threads, another treatment, or a combination of both would best suit your needs.