Tear Trough & Under-Eye Area
Comprehensive evaluation of tired under-eye hollows, dark shadowing, and delicate periorbital skin quality using autologous PRF or mid-face structural support.
Anatomical Assessment & Clinical Approach
The infraorbital (tear trough) region features the thinnest skin on the human body (approximately 0.5mm thick) and complex lymphatic drainage. Because of this delicate anatomy, not every dark circle or under-eye hollow should be treated the same way.
At Mapp Aesthetics in Miranda and Warwick Farm, our clinicians perform a strict differential diagnosis of your under-eye area: distinguishing between true anatomical tear trough hollowing, mid-face malar descent, thin translucent skin showing underlying vascularity, hyperpigmentation, or fluid-retainingmalar festoons.
Depending on your anatomy, we may recommend 100% autologous Platelet-Rich Fibrin (PRF, $550/session) to thicken crepey dermis naturally, indirect mid-face cheek support, or conservative infraorbital care where strictly suitable.
Anatomical Structures Evaluated
- Medial tear trough and orbitomalar ligament (ORL)
- Palpebromalar groove (lateral under-eye hollow)
- Deep medial cheek fat pad (the foundation directly beneath the lower lid)
- Periorbital dermal thickness and lymphatic drainage pathways
Common Patient Indications
- Sunken under-eye hollows casting a constant tired shadow
- Thin, crepey, or translucent skin beneath the lower eyelashes
- Loss of support at the lid-cheek junction
- Previous under-eye work performed elsewhere that looks puffy or bluish (Tyndall effect) and requires corrective review
What Happens During Your Appointment
01. Snap-Test & Lymphatic Suitability Screening
We test lower-eyelid elasticity, check for morning fluid retention, and evaluate mid-face support. If you are prone to puffiness, we will advise against water-binding gels and recommend autologous PRF instead.
02. Custom Periorbital Protocol
You receive an honest, safety-first recommendation (PRF cellular regeneration, mid-face support, or staged care) with full informed consent.
03. Ultra-Conservative Micro-Cannula or PRF Delivery
Performed gently with blunt micro-cannula technique to minimise bruising around the delicate periorbital vessels.
Post-Visit Integration & Aftercare Guidelines
- Under-eye tissue can experience mild puffiness or small bruises for 3 to 5 days.
- Sleep with an extra pillow for 2 nights and avoid salty foods or alcohol for 48 hours post-treatment.
All cosmetic and skin procedures are elective and carry potential clinical risks and side effects, including bruising, swelling, asymmetry, and localized sensitivity. Individual outcomes vary depending on anatomy, skin biology, and medical history, and results cannot be guaranteed. A comprehensive in-person consultation is required prior to any procedure to assess suitability and obtain informed consent.
Related Clinical Journal Guides
Frequently Asked Questions
Why do you often recommend PRF ($550) for the under-eye area?
Unlike synthetic gels that can attract water or cause puffiness in patients with sluggish lymphatic drainage, 100% additive-free Platelet-Rich Fibrin (PRF) uses your own platelets and fibrin scaffold to thicken thin under-eye skin and improve dark vascular shadows naturally.