Filling Hollows vs. Restoring Structure
The Under-Eye Isn’t the Problem
The Problem With Conventional Tear Trough Treatment
Most under-eye complications don't come from poor injection technique. They come from treating the wrong area.
The tear trough is rarely a true volume deficit. What reads as a hollow is more often a structural and perceptual issue — a consequence of bone loss along the orbital rim and maxilla, descent of the malar and suborbicularis fat pads, tethering at the orbitomalar ligament, and disrupted light reflection across the lid-cheek junction. Placing filler in the nasojugal groove addresses none of these. It adds volume to a zone that was never the actual problem, in an area prone to lymphatic congestion, hydrophilic spread, and visible migration.
NTT™ teaches you to step back and ask why the trough exists in the first place.
Treat the Cause. Not the Hollow.
The Natural Trough™ Technique focuses on restoring support in the structural zones that govern periorbital appearance — the orbital rim, anterior cheek, midface — while avoiding the high-risk, lymphatic-prone tissue directly beneath the eye. The result is a brighter, smoother under-eye that remains natural over time: no puffiness, no migration, no filler fatigue from product sitting in the wrong plane.
Not every under-eye needs filler. Not every hollow should be corrected directly. NTT™ teaches you to assess first, and to recognize when restraint produces better outcomes than intervention.
What You'll Learn
NTT™ is built on understanding how orbital aging actually occurs — and why improper sequencing creates the long-term complications that now fill most injectors' dissolution consultations.
- How to assess orbital anatomy, fat pad position, and ligament tethering before any product decision
- Why tear trough concerns are often structural or perceptual — not volumetric — and how to distinguish between them
- How to restore midface and orbital support in adjacent zones to reduce trough depth indirectly
- Which planes and zones carry the highest risk of lymphatic congestion, edema, and migration — and how to stay out of them
- How to identify patients who are not candidates for tear trough treatment
- How to achieve brighter, smoother under-eyes without ever chasing the trough itself
The Natural Trough™ Philosophy
join an upcoming course
Our training schedule evolves based on injector interest.
If this course is sold out, the dates don’t align with your schedule, or you’re interested in hosting this training at your practice, submit a request below and our team will be in touch.
FAQs
EXPERIENCE REQUIRED
To ensure the highest standards of care and expertise, we require all participants to hold the appropriate credentials. Specifically, you must be a NP, PA, RN, DDS, or MD. Proof of these credentials is mandatory for enrollment in our training programs or shadowing.
All of our in-person trainings are designed for injectors who have been practicing for a few years and are confident in foundational techniques—especially those participating in hands-on sessions. This ensures that each attendee has a solid understanding of facial anatomy and injection fundamentals. The recommended experience level for each course is outlined within its individual description.
what to bring
Just bring your enthusiasm to learn! We provide a workbook, injectables, and all necessary materials. Scrubs or comfortable attire is recommended, as well as something to take notes if preferred.
how to register
You can easily register through our website to reserve your spot. Payment can be made in full, or take advantage of our flexible financing options with ShopPay for convenient monthly payments.
certifications + CME credit
We offer CME credits for select trainings, with eligibility and credit hours clearly indicated on each individual course listing.
If CME credits are not available for a particular training, participants will still receive an official certificate of completion from Art of Injecting, provided in physical form after the training concludes.
reschedule policy
Due to the limited availability and preparation required for our training sessions, we require at least 6 weeks' notice for any cancellations.
More than 6 Weeks Before Training Date: Cancellations made at least 6 weeks in advance are eligible for a full refund or rescheduling at no additional charge.
3–6 Weeks Before Training Date: Cancellations within this timeframe will incur a 50% cancellation fee of the total training cost. Rescheduling may be available, subject to spot availability.
Less than 3 Weeks Before Training Date: Cancellations made within 3 weeks of the training date are non-refundable.
For Medical or Weather-Related Issues: If you are unable to attend due to illness or if severe weather takes place, please notify us promptly. We will issue a training credit to be applied toward a future training date.
NATIONALLY RECOGNIZED AESTHETIC INJECTOR TRAINING BASED IN NORTHWEST ARKANSAS
Located in Rogers, AR | Serving Students Nationwide
Art of Injecting Academy is proud to call Northwest Arkansas home, but our impact reaches far beyond. Led by nationally renowned injector Adrienne Easterling, PA-C, our hands-on and virtual training programs attract aesthetic professionals from across the U.S. Whether you're local to Rogers or bringing us to your city, you'll experience elite education, exclusive techniques, and mentorship that transforms your practice.