Tear Trough Fillers

Tear troughs are the hollows or grooves that run from the inner corner of the eye down towards the cheek. They can become more prominent with age due to volume loss and thinning skin, often creating shadows that contribute to a tired appearance and the look of dark circles. Tear trough fillers use specific, smooth Hyaluronic Acid (HA) fillers to carefully restore volume to this delicate area.

At PRP London Clinic, Dr. Hans performs this advanced technique using specialized fillers like Teosyal Redensity II®, Juvederm Volbella®, or Restylane Eyelight® to achieve natural-looking correction and refresh the under-eye area.

Treating the tear trough requires advanced skill and precision due to the thin skin and underlying structures. After a thorough consultation and assessment, topical numbing cream is applied. Dr. Hans typically uses a blunt-tipped cannula (rather than a sharp needle) for this procedure. The cannula is inserted through a small entry point near the cheek and gently guided to place tiny amounts of the specialized HA filler deep along the tear trough groove, just above the bone. This technique minimizes the risk of bruising and vascular complications. The procedure takes about 30-45 minutes.

Improvement in the under-eye hollows is often visible immediately, though some swelling or potential bruising can occur. The final, smoother result becomes apparent once any swelling settles, usually within 1-2 weeks. This treatment significantly reduces the shadowed, tired look associated with tear troughs. Results typically last 9-12 months, sometimes longer, depending on the filler used and individual factors.

Good candidates typically have:

• Noticeable hollows or volume loss under the eyes.
• Good skin elasticity in the under-eye area.
• Dark circles primarily caused by shadowing from hollows (not just pigmentation).
• Realistic expectations about the degree of improvement.

Individuals with significant under-eye bags (fat pads) or very thin, loose skin may not be ideal candidates, as filler could potentially worsen puffiness. Dr. Hans will carefully assess your suitability during the consultation.

Tear trough treatment is a specialized procedure using specific fillers and techniques, and has a set price per session. Please see the table below.

The under-eye area is complex, making injector experience crucial. Dr. Hans uses advanced techniques like cannula injection and appropriate filler selection to maximize safety and minimize risks such as bruising, swelling, lumpiness, or the Tyndall effect (bluish discoloration). Vascular complications, though rare, are a potential risk with any filler; choosing an experienced medical professional significantly reduces this risk.

Reduce under-eye hollows and dark shadows for a brighter, more rested look. Book a consultation with Dr. Hans at PRP London Clinic to discuss tear trough fillers.