The tear trough is the ‘ridge’ beginning for the inner eye corner, extending downward and outward following the lower lash line. The appearance of a person’s tear troughs depends on their genetics, age and other lifestyle factors. As we age, the under-eye area can lose volume and the skin can become thin, resulting in a ‘hollowed’ effect.


Whilst previously invasive options were a popular treatment, there are now plenty of sophisticated and non-surgical options that produce real results. The added advantage of this is that modern dermatological under-eye treatments have a minimal downtime period.


Tear troughs can be effectively treated with a dermal filler to improve the skin depression. This can also help to ‘thicken’ the area,  reducing the appearance of darker blood vessels. These fillers are natural and temporary, and are eventually absorbed by the body. The result is often a brighter, fresher look that will last approximately 12 months.  



Subscision is a surgical technique releases scars bound down to underlying tissue. It is performed under local anaesthetic and generally has no down time.

RadioFrequency RF Needling

RF needling delivers controlled radio frequency energy up to 3.5mm deep into the skin to break down scar tissue and promote collagen remodelling. It is usually performed with anaesthetic gels and local blocks.

Fraxel Fraxinated Lasers

Fractionated lasers treat chosen densities of micro-columns of skins, sparing the surrounding tissue. This method is at the forefront of acne scar treatment as it enables scars to be treated at depth, with less discomfort, complications and a reduced recovery time.

Ablative Lasers

Ablative laser treatment is effective in the revision of severe acne scars for those who are prepared for a longer downtime period in return for dramatic results. In addition to removing damaged skin, the laser stimulates underlying skin cells to trigger collagen production to break down scars. Dr. Manoharan is one of the country’s most experienced specialists in Erbium:YAG and CO2 lasers for long term acne scar treatment.

Chemical Peels

Chemical peels use agents such as TCA to replace the top layer of skin with new, underlying skin. This method brings forward healthier skin that has less visible signs of scarring.

TCA Cross

The TCA CROSS method is used for local scar destruction to encourage new skin production. It involves TCA being inserted into a scar and performs as a localised peel to reduce the depth of scars over a series of treatments.


Dr Manoharan is a laser dermatologist, specialising in cutting-edge combination treatments to reduce scarring. He produces world class results using gold-standard energy-based devices and techniques, and has the wealth of experience you need to get the results you want – and is based right here in Brisbane, Australia!


See more before and after photos in the gallery: Eye Rejuvenation Gallery