Case Study – Tear Trough Treatment

By anti-aging Cosmetic Nurse Bianca Stewart



Bianca before_after





My client came to me concerned with her dark circles and felt like she was constantly looking tired. She is not alone in this as it is an enquiry I get often from both men and women. Dark circles are usually caused by hollowing in the tear trough which is a deep indentation between the eye and nose. These indentations can get worse as we age and are a result of sagging skin and volume loss caused by a loss of facial fat underneath.

As the face ages these changes can give the appearance of lower eye bags and dark circles. The dark colour occurs because this loss of tissue allows the deeper dark purple muscle layer to show through. Often a bag will appear as this loss of structure causes a loss of support to the tissues directly under the eye which will then begin to bulge unsupported. The darkness is further exacerbated by the shadowing caused by this troughing and bagging.

In the past, it was thought that only surgery could improve eye bags, and there were no effective treatments for the annoying dark circles under the eyes but now a very effective treatment is the use of dermal fillers to replace lost volume. This is a subtle treatment but one that can make significant improvement to the area.



I used a very careful multiple-puncture technique, injecting dermal filler deep just above the orbital bone depositing small boluses, and massaging them and moulding them carefully along the way. The procedure takes only 10 minutes and the results are truly amazing. This procedure rejuvenates the tired aging face and the results can last as long as 12 months


Bianca Anatomy


Before booking a consultation, she had researched treatment options and felt that surgery was not the way to go so was looking for a non-invasive way to improve the area. The client was extremely happy with the results and felt like it made her look less tired and younger looking.


About Bianca


Bianca Stewart

Bianca completed a Bachelor of Health Science and Nursing degree at Victoria University and went on to work at the Royal Children’s Hospital in a high dependency specialty medical ward for two years. Looking for a change, she moved into cosmetic nursing working as a Director of Nursing for a cosmetic surgery centre in Melbourne.

 She has worked alongside top cosmetic surgeons and has gain expertise in patient assessment, cosmetic injectables, skin rejuvenation and cosmetic surgery.

 With over 10 years’ experience within the cosmetic surgery industry, she is highly trained in providing treatments including lip and facial enhancement, wrinkle reduction and muscle relaxing treatments. She has undergone extensive training and has advanced certificates in the administration of all products she uses. Bianca continues to keep herself updated with the latest products, treatments and techniques by attending regular workshops and conferences nationally.