Medically reviewed by Dr Tapan Patel
Last reviewed: 22nd February 2026
Tear trough filler
Tear trough filler is a popular non-surgical treatment designed to address the appearance of dark circles, shadows, and hollows under the eyes. This simple injectable treatment aims to restore lost volume in the tear trough area, which can contribute to a tired appearance and aged look.
One of the main reasons why someone would undergo tear trough treatment is to level out the loss of volume below the eyes and reduce the appearance of dark circles. This area, known as the tear trough region, can develop a sunken and hollow appearance due to aging, genetics, or lifestyle factors. Tear Trough dermal fillers work by injecting a hyaluronic acid-based gel into the area, which restores volume and smooths out any depressions.
In addition to reducing dark circles, fillers for tear trough have the added benefit of brightening and rejuvenating tired-looking eyes. They stimulate collagen production in the delicate skin, and this non-surgical procedure is a safe and effective option to more invasive options, such as surgery, and provides natural-looking results.
When considering tear trough treatment, it is important to consult with skilled and qualified practitioners who understand facial anatomy and can recommend the most appropriate approach for suitable candidates. Mild swelling and bruising may occur following the procedure, but this typically subsides within a couple of days. The cost of tear trough fillers can vary depending on the clinic and the amount of product required. Overall, tear trough filler results offer a convenient and temporary solution to restore volume, brighten eyes, and enhance facial features.
Dermal filler treatment, by the experts
Trusted for over 13 years to reduce the appearance of eye bags and the insecurities that come with them, you can rely on our PHI Clinic London practitioners to significantly reduce the appearance of under-eye bags, leaving a more rejuvenated look. This also helps with other common concerns like deep lines and marionette lines.
As the under-eye area is so delicate, eye filler should only be performed by an experienced medical professional. Our experienced practitioners, renowned in the industry, will always put your safety first.
During your consultation at our London clinic, one of our practitioners will assess whether hyaluronic acid dermal filler injections are the right treatment for you, as well as discussing everything you need to know about the procedure.
What causes tear troughs?
The main culprit of under eye hollows and volume loss under the eyes is age. But this area can be impacted by a whole range of factors including lifestyle, allergies and lack of sleep. For some, the effects can even be inherited. The causes include:
- Ageing: The natural ageing process leads to a loss of collagen and elastin, which results in a decrease in skin elasticity and volume. This can contribute to the appearance of tear troughs as the area under the eyes becomes more hollow or sunken. If you have fillers in the tear trough area, the rest of the face will age as normal.
- Genetics: Some inherit hollowness and dark circles under the eyes. The anatomical structure of the face, including the position of the fat pads and bone structure, can play a role in the development of tear troughs.
- Loss of fat and volume: As we age, fat pads in the face can shift or diminish, including the fat pads that provide support to the under-eye area. This loss of fat and volume can create a hollow or sunken appearance.
- Fluid retention and swelling: Factors such as water retention, allergies, sinus issues, or inadequate sleep can cause fluid to build under the eyes. This can lead to puffiness and accentuated tear troughs.
- Lifestyle factors: Certain habits, such as excessive sun exposure, smoking, poor nutrition, and lack of sleep, can contribute to the tired look and appearance of lines.
10 Years Younger in 10 Days treatment journey
Who is suitable for treatment?
Tear trough treatment may be effective for those who have bags and hollows under the eyes. As we age, our eye sockets become more prominent and defined. With a precise amount of specially-designed dermal filler, our aesthetic doctors can add volume and structure to the area while avoiding the puffy, overdone look. This treatment is an effective option for suitable candidates.
Who Is Tear Trough Treatment Not Suitable For?
Patients unsuitable for tear trough would be those with significant under-eye bags (fat prolapse), skin laxity without hollowing, those that have certain anatomical risks (this can only be ascertained during your consultation with a highly experienced medical professional. In some cases a surgical referral may also be better and more suitable for individual cases.
In some cases, alternative treatments such as skin tightening or surgical blepharoplasty may be more appropriate than dermal filler.
Who will perform treatment?
Given the delicate eye circle area, this treatment is carried out by our team of doctors. Our doctors are some of the country’s most advanced injectors. They treat a variety of patients at our London clinic, as well as educating other medical professionals on international stages.
How long do tear trough fillers last?
As every face is different, so are the results. But our dermal fillers can last anywhere between 12 and 24 months when injected into the under-eye area, offering longer-lasting results for tear trough filler treatments.
Does tear trough filler hurt?
Our Juvéderm dermal fillers contain a local anaesthetic, numbing the area whilst being injected into the skin. You may feel a little uncomfortable, but you shouldn’t feel pain during tear trough filler treatment.
Tear trough filler aftercare
Tear trough filler aftercare is crucial to ensure the best possible results and minimise risks. While specific instructions may vary depending on the patient, here are some general guidelines:
- Avoid touching or applying pressure. For the first 24-48 hours following the treatment, avoid touching or applying excessive pressure to the treated area. This includes avoiding rubbing, massaging, or putting any significant pressure on the tear troughs.
- Apply cold compresses. Applying cold compresses or ice packs wrapped in a cloth to the treated area can help reduce swelling and alleviate any discomfort. Be sure to use a barrier, such as a cloth or towel, to protect the skin from direct contact with the cold pack.
- Avoid strenuous activities. Minimise activities that may increase blood flow or strain the treated area, such as vigorous exercise, heavy lifting, or bending over. These activities can potentially impact the outcome of the treatment and increase the risk of bruising or swelling.
- Avoid sun exposure. Protect the treated area from direct sun exposure and avoid tanning beds for at least a week following the treatment. Sun exposure can increase the risk of hyperpigmentation and other complications.
- Use gentle skincare products. During the initial healing period, opt for gentle skincare products that do not contain harsh chemicals or potential irritants. Avoid exfoliating or using abrasive scrubs in the treated area.
- Sleep with an elevated head position. For the first few nights after the treatment, sleep with your head slightly elevated by using an extra pillow or raising the head of your bed. This can help minimise swelling.
- Follow post-treatment instructions. It is crucial to adhere to any specific post-treatment instructions provided by your healthcare provider. This may include using prescribed topical creams or avoiding certain medications or supplements that could increase the risk of complications.
At what age should you get under-eye fillers?
The appropriate age for under-eye fillers depends on various factors. Tear trough fillers have become an increasingly popular treatment for younger individuals seeking a fresher appearance and to reduce the tired appearance.
Age is a factor, but individual circumstances such as skin quality, lifestyle, and facial anatomy should also be considered. Tear trough fillers may be suitable for individuals in their 20s and 30s who experience mild volume loss.
Tear trough fillers are not a permanent solution, and results may break down over time. To maintain optimal results, adopting a healthy lifestyle and daily routine is essential. Consulting with a qualified medical practitioner will help you determine if this treatment is right for you.
Do results look natural?
Results from tear trough filler treatments can produce natural-looking outcomes when performed by a skilled practitioner who understands facial anatomy. This treatment aims to address the tired appearance by replenishing lost volume in the tear trough area.
Unlike surgical procedures, tear trough filler treatments offer a non-surgical solution using hyaluronic acid, a substance naturally found in the body. The key to achieving natural-looking results lies in the hands of an experienced practitioner who can tailor the treatment to suit each patient’s unique facial contouring needs.
Are there any risks with a tear trough filler procedure?
Tear trough filler injections are widely recognised as an effective option for treating under-eye hollows and dark circles. However, like any injectable treatment, there are potential risks. Mild swelling and bruising are the most common side effects, which typically subside within a couple of days.
It’s crucial to seek treatment from experienced medical practitioners who understand facial anatomy to avoid botched tear trough treatment. With proper supervision, the risks of tear trough filler injections are minimised, and patients can achieve natural-looking results.
Why choose PHI Clinic?
Our award-winning London clinic has gained its reputation due to our team of medical experts who have performed thousands of safe and effective non-surgical treatments. Leading the team, PHI Clinic founder Dr Tapan Patel holds the 2023 Aesthetics Award for Outstanding Achievement in Medical Aesthetics. He is also a global trainer for Allergan Aesthetics, manufacturer of the world’s leading dermal filler brand, Juvéderm. Our team of medical professionals are trained by the best and perform gold standard treatments.
Your consultation
Before receiving treatment, you will be seen by one of our expert practitioners for a thorough assessment and consultation.
Every client is unique. You will receive a bespoke treatment plan, based on your individual concerns, medical history and our expert assessment on how to address them. You may also discuss additional treatments like Cheek Fillers or anti-wrinkle injections to further enhance your facial features and improve the appearance of lines.
Tear trough injections, using hyaluronic acid filler, are an effective treatment option for restoring volume and reducing the appearance of hollowness and dark circles under the eyes. Ideal candidates include those with signs of aging such as nasolabial folds, excess skin, or an aged appearance in the upper cheek area. After an initial consultation, practitioners determine if this comfortable and minimally invasive treatment is suitable for your skin type and tone. The benefits include a rejuvenated appearance, allowing you to quickly return to your normal daily activities.
Safe and effective treatment
Your safety is our top priority and making our patients feel welcomed and reassured when entering PHI Clinic. To ensure maximum standard of patient care, all of our treatments are only ever carried out by our experienced and highly qualified team, who receive regular in-house and external training from industry experts.
At PHI Clinic we do not offer same day treatment as initial consultation to ensure patients have time to reflect on their bespoke treatment plan before choosing to proceed.
Tear trough treatment frequently asked questions
Tear trough filler is an injectable treatment used to address the hollow tear trough or dark under-eye area. This simple procedure helps improve facial contouring and reduce the aged appearance of tiredness or hollowness under the eyes, resulting in a more youthful appearance.
Tear trough filler is a type of under-eye filler, specifically targeting hollowing between the lower eyelid and cheek.
No, tear trough filler is not a permanent solution. It provides longer-lasting results, typically ranging from 9 to 12 months. Periodic maintenance treatments are often necessary to enjoy the benefits of tear trough filler.
Tear trough procedures are generally safe when administered by qualified doctors experienced in effective treatments. Make sure to choose a reputable provider, such as those at Harley Street, for your treatment.
There is minimal downtime after tear trough injections. Patients can typically return to their daily activities immediately after the procedure. Days after treatment, any mild side effects, such as swelling, should subside.
Common side effects include minor swelling, bruising, or redness at the injection site. These effects are usually temporary and can be managed with appropriate aftercare. There is also a small risk of filler migration if not administered by experienced professionals.
Individuals with hollow tear trough areas or dark under-eye circles, who are in good health, make suitable candidates for tear trough filler. A consultation with a qualified practitioner is essential to determine if this treatment is right for your skin type.
Tear trough filler can be combined with other injectable treatments or fillers, such as Cheek Fillers, for a comprehensive facial rejuvenation. This helps address other concerns, like excess skin, to achieve your desired results. Your provider can discuss additional treatments.
The use of glycolic acid or any chemical peels should be discussed with your treating physician. It’s crucial to follow post-treatment recommendations to ensure optimal results and minimise any potential complications.
Tear trough filler should not significantly affect muscle activity or facial expressions. It is specifically designed for the delicate eye circle area and should not impede normal facial movements.
Tear trough bruising, which may occur after tear trough filler injections or due to other factors, can be treated using various methods. Here are some steps you can take to help minimize and treat tear trough bruising:
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Apply a cold compress: Immediately after noticing bruising, apply a cold compress or an ice pack wrapped in a cloth to the affected area. This can help reduce swelling and minimise the appearance of bruises.
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Use arnica cream or gel: Arnica is a natural remedy known for its anti-inflammatory properties. Applying arnica cream or gel topically to the bruised area can help speed up the healing process and reduce bruise discoloration. Follow the instructions on the product packaging for proper application.
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Avoid blood-thinning medications and supplements: Blood-thinning medications, such as aspirin, ibuprofen, and certain herbal supplements like fish oil or ginkgo biloba, can exacerbate bruising. Consult with your healthcare provider or the professional who performed the treatment about temporarily stopping these medications or supplements, if appropriate.
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Elevate your head while sleeping: Keeping your head slightly elevated while sleeping can help reduce blood flow to the bruised area and minimize swelling.
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Avoid strenuous activities: Engaging in vigorous physical activities or exercises can increase blood flow and potentially worsen bruising. It's best to avoid such activities until the bruising has subsided.
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Apply topical vitamin K: Vitamin K has been known to help with bruising and can be found in certain topical creams or serums. Applying these products as directed may aid in reducing the appearance of bruising.
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If you've had an unsuccessful treatment, consult the original practitioner first as it's really important to find our what product was used. Without this information, it's difficult for another practitioner to perform a safe and effective removal process.
Additionally, it is important to do your research to find a doctor with suitable credentials and extensive experience. It is beneficial to review their portfolio showcasing successful before and after images of patients with similar indications. While a before image may not be mandatory during the initial consultation with a new practitioner, it can be helpful for assessment and treatment planning.
There are two things here – one is volume loss within the anterior cheek pad, which is common as we age. This causes a depression just below the eye, forming the tear trough and resulting in the formation of shadows below the eyes, leading to a tired appearance.
The second problem is thinning of the skin, which can lead to puffiness as a result of water retention. These two problems need to be addressed individually. The hollow tear trough can be treated with cheek volumization, restoring the anterior cheek pad, and excess skin can be addressed with energy-based skin tightening or skin peels. For the tear trough, hyaluronic acid filler is typically the most effective treatment to restore a youthful appearance.
A botched tear trough filler procedure often results from the wrong type of filler or being performed by inexperienced practitioners. This can lead to an unnatural appearance, excess loose skin, and visible lumps. Other complications include blocked blood vessels, allergic reactions, or swelling under the eyes.
To correct a botched filler, additional filler might be required, or the incorrect filler can be dissolved. To avoid complications, always consult a reputable clinic and ensure the correct type of filler is used for this delicate area.
Location
PHI Clinic
102 Harley Street,
London,
W1G 7JB,
United Kingdom
Tel: 02070345999
Opening Hours
Monday & Tuesday - 9:30am to 6:00pm
Wednesday & Thursday - 9:30am to 8:00pm
Friday - 9:30am to 5:00pm
Saturday - 11:30am to 12:30pm
Sunday - Closed
Opening times can change, if your appointment is outside of these times please contact the clinic for confirmation.

