Smooth the hollows: tear trough treatment in Massapequa
A groove that runs from the inner corner of your eye down toward your cheek, casting a shadow that makes you look tired no matter how rested you are. At Skin Space in Massapequa, we help clients across Long Island soften hollow tear troughs with a careful, conservative approach to one of the most delicate areas of the face.
Also known as under-eye hollows, sunken eyes, tear trough hollows and the under-eye groove.
Medically reviewed by Dr. Jimenez, Medical Director. Last reviewed September 2026.
What tear troughs are
A natural groove that deepens with time.
The tear trough is the natural crease where the lower eyelid meets the cheek. In some people it's visible from a young age because of their bone structure. In others, it deepens as volume under the eyes and in the upper cheek decreases, creating a hollow that catches shadow and makes the eyes look sunken or tired.
Tear trough filler can make a striking difference, but this is a delicate area and not everyone is a good candidate. The skin is very thin, puffiness can get worse with filler, and careful technique matters. Sometimes restoring a little volume in the cheek first gives the under-eye area better support and a more natural result.
Inner groove
A visible line from the inner corner of the eye toward the nose and cheek.
Overall hollowness
A sunken look under the whole eye that makes the eyes seem deeper set.
Hollow with puffiness
A groove sitting just below a puffy area, which makes both look more pronounced.
If the main issue is darkness rather than hollowness, see dark circles. If puffiness sits above the groove, see under-eye bags and puffiness, and for volume loss lower down, hollow cheeks.
What causes it
Bone structure, volume and skin thickness.
Several factors shape how visible the tear trough is.
- Genetics and bone structure, which is why some people have tear troughs in their 20s.
- Volume loss under the eyes, as the fat that cushions the area thins with age.
- Volume loss in the cheeks, which removes support from below the eye.
- Thin skin, which makes the groove and the vessels beneath it more visible.
- Weight loss, which often shows first around the eyes and cheeks.
- Lack of sleep and dehydration, which make hollows look deeper temporarily.
Tear trough treatments at Skin Space
Your Skin Space provider will check whether you're a good candidate for under-eye filler before recommending it.
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Dermal Filler
A soft hyaluronic acid filler placed carefully along the tear trough smooths the groove and reduces the shadow it casts. It can be adjusted or dissolved if needed.
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Microcurrent Eye and Lip
Gentle electrical current that stimulates the skin and muscles around the eyes, improving firmness and helping the area look smoother, with no needles.
What to expect at Skin Space
Careful planning for a delicate area.
Candidacy check
We look at your under-eyes in different lighting, check skin thickness and puffiness, and look at your cheek volume.
Your plan
Your provider recommends whether to treat the tear trough directly, start with the cheeks, or choose a no-needle option.
Treatment
Filler is placed slowly and conservatively with numbing for comfort. Small amounts make a big difference here.
Follow-up
We check your result after about two weeks and add a little more only if needed.
Caring for the under-eye area
Protect the result and the thin skin around it.
- Avoid pressing or rubbing under your eyes for the first few days after filler.
- Sleep with your head slightly raised for a few nights to help swelling settle.
- Skip alcohol and strenuous exercise for 24 hours after treatment.
- Wear sunglasses and sunscreen to protect the thin skin under your eyes.
- Use a gentle eye cream and pat rather than rub.
When to check with your doctor
The under-eye area needs extra care.
Tell your provider or check with your doctor if you:
- Have had eyelid surgery or other procedures around the eyes
- Have frequent puffiness, allergies or fluid retention around the eyes
- Have had filler under the eyes before and notice lumps, a bluish tint or lasting swelling
- Are pregnant or breastfeeding, or have an active infection near the eyes
After under-eye filler, get emergency care right away for any change in your vision, severe pain, or skin that turns pale or dusky. Every Skin Space consultation includes a review of your health history so we can choose treatments that are safe for you.
Common questions
Am I a good candidate for tear trough filler?
Good candidates usually have a visible hollow, reasonably good skin quality and little puffiness. If you have a lot of puffiness or very thin skin, your provider may suggest another approach first.
How long does tear trough filler last?
Under-eye filler often lasts a year or longer because there's little movement in the area. Results vary by person and product.
Can under-eye filler look bluish?
If filler is placed too close to the surface, it can sometimes give a bluish tint. Careful technique reduces this risk, and hyaluronic acid filler can be dissolved if it happens.
Why would you treat my cheeks instead?
When the cheeks have lost volume, the under-eye area loses support. Restoring the cheek first can soften the tear trough and look more natural.
Does tear trough filler hurt?
Numbing makes it comfortable for most people. You may feel some pressure, and swelling or bruising can last several days.
Where can I get tear trough filler near Massapequa?
Skin Space is a med spa in Massapequa, NY, serving clients from across Long Island. Every plan starts with a consultation to check whether under-eye filler is right for you.
Reviewed by Dr. Jimenez
Medical Director at Skin Space in Massapequa, NY. This page was reviewed for medical accuracy in September 2026.
