The tear trough is the groove running from the inner corner of the eye along the lower orbital rim. When it deepens, it casts a shadow that mimics dark circles and gives a perpetually tired appearance — regardless of how much sleep you get. Many patients mistake this for pigmented dark circles; the root cause is structural hollowing, which topical products cannot address. At Rappoel Dermatology in Seoul, we use The Chaeum series’ lowest-viscosity formulations for deep tear trough correction, prioritizing safety and natural results in this anatomically complex zone.
Why Tear Troughs Form
- Orbitomalar ligament: This fibrous band anchors skin to the orbital rim, creating the hollow on either side
- Congenital orbital bone recession: Some patients have naturally deep orbits from an early age
- Periorbital fat atrophy: Age-related fat loss under the eyes deepens the groove
- Coexisting eye bags: Protruding orbital fat makes the adjacent tear trough appear deeper by contrast
Chaeum Tear Trough Technique
Tear trough injection is one of the highest-risk areas in facial filler due to:
- Extremely thin skin (~0.5mm) — shallow placement causes Tyndall effect (blue-gray discoloration)
- Low tolerance for overfilling — excess volume creates a puffy, swollen appearance
- Requirement for low G’-prime (low-stiffness) HA to maintain natural expression dynamics
Rappoel’s approach:
- Deep supraperiosteal injection to prevent Tyndall effect
- Blunt-tip cannula technique to minimize bruising and hematoma risk
- Conservative volume principle — less is more; adjustments made at follow-up
What Tear Trough Filler Can Improve
- Visible under-eye hollowing that creates shadows under lighting
- “Dark circles” that are actually structural shadows, not pigment
- Chronically tired appearance despite adequate rest
- Collapsed under-eye zone without significant eye bags
Treatment Details
- Clinic: Rappoel Dermatology, 5F, 24 Seocho-daero 77-gil, Seocho-gu, Seoul (3 min from Gangnam Station Exit 10)
- Duration: 20–30 minutes
- Downtime: Mild swelling 2–3 days; low bruising risk with cannula
- Longevity: 9–12 months
- Material: The Chaeum Fine / Premium Fine (low-viscosity periorbital formulation)
Frequently Asked Questions
Book a Tear Trough Filler Consultation
📍 77, Seocho-daero, Seocho-gu, Seoul, South Korea
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