All Concerns
Face, Concern

Under Eye Hollowing

A rested, refreshed expression.

Hollowing beneath the eyes can make the face read as tired regardless of how well you've slept. The area is technically demanding and requires particular care.

Under Eye Hollowing
About the concern

The tear trough sits over thin skin, fine vasculature and a complex underlying anatomy. It is one of the least forgiving areas of the face to treat and is often best approached indirectly.

Not every patient is a candidate for direct treatment here. In many cases, supporting the cheek delivers a better under-eye outcome than treating the hollow itself.

Where direct treatment is appropriate, we work conservatively, prioritising safety over a dramatic immediate change.

Areas of concern

Where this typically shows up.

The areas below are commonly assessed in consultation. Whether any are treated , and how, is decided on an individual basis.

01

Tear Trough

The medial hollow that sits closest to the nose. Direct treatment is offered only where the underlying anatomy is suitable.

02

Lid-Cheek Junction

The transition from the lower lid to the cheek. Smoothing this junction is often achieved by supporting the cheek rather than the lid.

03

Lateral Orbital Hollow

Hollowing toward the outer edge of the eye. Cautious, conservative support can soften the area without weight or puffiness.

04

Skin Quality of the Lower Lid

Crepiness, fine lines and pigmentation through the lower lid skin are often best addressed with skin-focused treatments rather than volume.

Your consultation

Unhurried. Plastic Surgeon-led. No pressure to proceed.

We start by understanding exactly what's bothering you in this area, shadowing, puffiness, crepey skin, hollowness, because these all look similar but ask for very different treatment.

Our Aesthetic Nurse assesses the under-eye in context: the position and projection of the cheek, the integrity of the lower lid, the quality of the overlying skin and any history of fluid retention. Suitability for direct treatment is decided here, not before.

If treatment is appropriate, we explain the technique, the known risks specific to this region, the expected settling period and longevity, and what to expect if revision is ever needed. If it isn't appropriate, we'll say so plainly and suggest alternatives.

There's no pressure to proceed on the day. Under-eye work in particular benefits from a considered, unrushed decision.

Treatment Options

How we approach under eye hollowing.

The treatments below may be considered for this concern. The plan that is right for you will be determined in a one-on-one medical consultation.

01

Volume Replacement

Cautious, conservative placement of volume replacement treatment where clinically indicated, and only after a full assessment of the surrounding mid-face.

Learn about this treatment
02

Bio-Regeneration

Improves the quality, hydration and thickness of the delicate periorbital skin.

Learn about this treatment
03

Medical Skin Needling

Collagen induction to refine surface texture and the look of fine lines around the eye.

Learn about this treatment
04

Rejuran

Polynucleotide skin-repair injectable, one of the few options considered for the delicate under-eye area, that may support hydration, skin quality and resilience.

Learn about this treatment

Begin with a consultation.

Request a Consultation

General information only. Not medical advice. All cosmetic procedures carry risks. A consultation with a registered medical practitioner is required prior to any treatment. Results vary.