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Tear trough filler
Hollows under the eyes can cast a shadow that reads as tiredness. A small amount of soft filler can smooth the transition between the lower eyelid and the cheek. This is a delicate area and not everyone is suitable, so assessment comes first.
From £360Book a free consultation
Is it for me?
What it can help with
- Hollows under the eyes
- Shadowing that looks like dark circles
- A tired appearance
- The step between lower eyelid and cheek
At a glance
What to expect
- Appointment
- Around 45 minutes
- Results
- Visible straight away, best judged at two weeks
- Lasts
- Usually 6 to 12 months
- Downtime
- Swelling or bruising for up to a week is possible
- Price
- From £360 per 1ml
About the treatment
How it works
The tear trough is the groove that runs from the inner corner of the eye across the top of the cheek. When it deepens it casts a shadow, which is often what people mean by dark circles.
A small amount of soft hyaluronic acid filler placed deep in the groove can smooth the step between eyelid and cheek. The under-eye area is delicate and the skin is thin, so careful assessment matters more here than anywhere else. If your concern is caused by pigmentation, puffiness or loose skin instead of hollowing, we will suggest a different treatment.
Your appointment
What happens, step by step
Consultation
We talk through your concerns and medical history, examine the area and explain your options, the cost and the risks. You can take time to think it over.
Preparation
On the day we confirm your consent, take photographs for your record, and cleanse the skin.
Treatment
After numbing, a small amount of filler is placed deep under the eye, usually with a blunt cannula through a single entry point on each side.
Afterwards
You leave with written aftercare advice and our number. We check how you have settled at a review if one is needed.
Before
Preparing for your appointment
- Avoid alcohol for 24 hours before your appointment
- Tell us about any medication or supplements you take, including blood thinners. Do not stop prescribed medication without speaking to your GP
- Let us know if you are unwell, have a skin infection or a cold sore in the area, as we may need to rebook
- Tell us if you are pregnant or breastfeeding, as treatment is not carried out during this time
- Come with clean skin and no make-up on the area if you can
After
Looking after yourself afterwards
- Avoid touching or rubbing the area, and leave make-up off for the rest of the day
- Skip strenuous exercise, alcohol, saunas and steam rooms for 24 to 48 hours
- Sleep with your head slightly raised on the first night if you have swelling
- Use a cool compress for swelling, and expect any bruising to fade over a few days
- Avoid facials, facial massage and dental work for two weeks
- Call us straight away if you have increasing pain, pale or mottled skin, or any change in vision
- Swelling under the eyes can take up to two weeks to settle fully
Questions
Frequently asked
What are dermal fillers made of?
The fillers we use for this treatment are based on hyaluronic acid, a substance that occurs naturally in the skin and holds water.
How long does it last?
Usually 6 to 12 months.
Does it hurt?
Most people describe it as uncomfortable rather than painful. We apply numbing cream beforehand, and most fillers also contain a local anaesthetic.
What are the side effects?
Redness, swelling and bruising at the injection sites are common and usually settle within a few days. Rarer, more serious risks exist with any filler treatment, and we explain them fully at your consultation before you decide.
Can filler be dissolved?
Hyaluronic acid filler can be dissolved with an enzyme called hyaluronidase if needed.
Is everyone suitable?
No. Under-eye bags caused by fat or fluid, or very thin skin, may not improve with filler and can look worse. We will tell you at consultation if another treatment would suit you better.
Why M.D Aesthetics
What you can expect from us
A proper consultation
Free, unhurried and with no obligation. We would rather you left informed than booked.
Honest advice
If a treatment is not right for you, or a different one would serve you better, we will say so.
Clear prices
You know the cost before you commit, and our starting prices are published.
Aftercare
Written advice after every treatment, and someone to call if you have a question.
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Talk it through first
Book a free 30-minute consultation to find out whether tear trough filler is right for you.