Face · Condition

Under-Eye Hollows (Tear Troughs)

Shadowing and hollowing beneath the eye — softened with regenerative and volumising options.

The tear trough is the groove that runs between the lower eyelid and the upper cheek. As the face loses volume and the skin thins with age, this groove can deepen and cast a shadow, creating a tired, hollow look under the eye. At Feonix Aesthetics in Coventry, under-eye concerns are assessed carefully — the area is delicate, and the right approach depends on whether the issue is volume loss, skin quality, or pigmentation.

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What it is

A tear trough is the natural depression running from the inner corner of the eye down towards the cheek. When it becomes more pronounced — through age-related volume loss, thinning skin, or simply inherited facial structure — it creates a hollow that catches shadow and reads as tiredness, even when you are well rested.

Under-eye hollowing is often confused with dark circles. They can occur together, but they are different: a tear trough is a structural shadow caused by a groove, whereas dark circles are pigment. Distinguishing the two is important, because they respond to different treatments. This is why the area is always assessed in person before any treatment is considered.

Why it happens

With age, the fat pads that support the mid-face descend and shrink, the bony orbit around the eye widens slightly, and the skin becomes thinner and less elastic. Together these changes deepen the tear trough. Genetics play a large part — many people have a naturally prominent tear trough from a young age. Fluid retention, sleep, and general health can make the appearance fluctuate day to day.

How we treat under-eye hollows at Feonix

Because the under-eye is one of the most delicate areas of the face, treatment is chosen conservatively after assessment. Polynucleotides are frequently our first choice for under-eye concerns — rather than adding volume, they work by improving the quality, thickness and hydration of the skin itself, which can soften the hollow appearance and freshen the area gradually.

Where the hollow is genuinely due to volume loss and the anatomy is suitable, a small amount of dermal filler may be discussed. This is a carefully judged treatment in an unforgiving area, so suitability is assessed thoroughly at consultation and is not appropriate for everyone. Fotona SmoothEye, a non-invasive laser treatment, can also be used to tighten and refresh the skin around the eye. The right combination is decided with you, based on what is actually driving the appearance.

Treatments for Under-Eye Hollows (Tear Troughs)

Common questions about under-eye hollows (tear troughs)

Are under-eye hollows the same as dark circles?

No — although they often occur together. A tear trough is a structural groove that casts a shadow; dark circles are pigmentation in the skin. They respond to different treatments, which is why the area is assessed in person before anything is recommended. Some people have both, and a combined plan is then discussed.

Is filler always the answer for tear troughs?

No. The under-eye is a delicate, unforgiving area and filler is not right for everyone — it depends on your anatomy and what is actually causing the appearance. Many people are better suited to polynucleotides, which improve skin quality rather than adding volume. Suitability is assessed thoroughly at consultation.

Will it look natural?

The aim is always a fresher, less tired appearance rather than an obvious change. A conservative, gradual approach is used precisely so the result looks like you on a good day. Realistic expectations are discussed openly at your consultation.

How do I start?

Book a consultation at our Coventry clinic (15 Little Park Street). Your practitioner will examine the area, work out whether volume, skin quality or pigmentation is the main issue, and only then discuss the most appropriate option. Clients travel to us from Leamington Spa and across the Midlands.

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Refresh the under-eye area

Under-eye concerns deserve a careful, in-person assessment before any treatment. A consultation at Feonix Aesthetics works out what is actually causing the shadow and recommends only what genuinely suits you.

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