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tear trough treatment london

Tear trough

Tear troughs are the deep semi-circle-like grooves found in between the cheekbones and under eyes. Our dermal filler treatment reduces the appearance of tear troughs, without any surgery.

  • Doctor only treatment
  • Minimal downtime
  • Minimally invasive

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 procedure aims to restore lost volume in the tear trough area, which can contribute to a tired and aged appearance.


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 ageing, genetics or lifestyle factors. dermal fillers work by injecting a hyaluronic acid-based gel into the area, which restores volume and smooths out any depressions.

eyebag tear trough treatment in london

Tear trough filler before and after

Tear Trough reviews London

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In addition to reducing dark circles, tear trough fillers have the added benefit of brightening and rejuvenating tired-looking eyes. They stimulate collagen production in the skin using hyaluronic acid filler, this non-surgical procedure is a safe and effective alternative 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 individual needs. Mild swelling and bruising may occur following the procedure, but this typically subsides within a few days. Overall, tear trough fillers offer a convenient and temporary solution to restore volume, brighten eyes, and enhance natural beauty.

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 appearance.


As the under eye area is so delicate, eye filler should only be performed by an experienced medical professional. Our experienced, industry-renowned practitioners 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 treatment.

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 lifestyle habits, such as excessive sun exposure, smoking, poor nutrition, and lack of sleep, can contribute.

10 Years Younger in 10 Days treatment journey

tear trough treatment in london

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 much more prominent and defined. With a precise amount of specially-designed dermal filler, our aesthetic doctors can add volume and structure once more to the area, while avoiding the puffy, overdone look. 

Who will perform treatment?

Given the delicate under eye 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.

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 so important. This makes sure you experience the best results possible and minimise the risk of complications. While specific instructions may vary depending on the patient, here are some general tear trough filler aftercare guidelines:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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?

Determining the appropriate age for under-eye fillers requires careful consideration of various factors. Tear trough fillers have become increasingly popular treatment among younger individuals seeking a fresher appearance and less tired-looking eyes.


While age is certainly a factor to consider, individual circumstances such as skin quality, lifestyle, and facial anatomy should also be taken into account. Tear trough fillers may be suitable for individuals in their 20s and 30s who are experiencing mild volume loss or have inherited under-eye hollows.


It is important to note that filler results are not permanent and may break down over time. Factors such as natural collagen production, metabolism, and the overall health of the skin can contribute to the longevity of the results.


To maintain optimal results, adopting a healthy lifestyle is essential. This includes proper skincare, sun protection, and overall wellness practices such as staying hydrated, getting enough sleep, and managing stress.


Appropriate age for under-eye fillers is a decision best made in consultation with a qualified medical practitioner. They can assess your specific needs and provide expert guidance on whether tear trough fillers are the right solution 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. The treatment aims to address the sunken appearance under the eyes, commonly known as a hollow tear trough, which can leave one looking tired or aged.


Unlike surgical procedures, tear trough filler treatments offer a non-surgical solution to improve the appearance of tired-looking eyes. By using hyaluronic acid, a substance naturally found in the body, the filler is injected into the tear trough region to replenish volume loss and stimulate collagen production. This results in a subtle yet noticeable reduction in dark circles and an overall rejuvenated and youthful appearance.


The key to achieving natural-looking results lies in the hands of a skilled practitioner. They understand the delicate balance of adding just enough filler to the tear troughs without overfilling or creating an unnatural appearance. They have in-depth knowledge of facial anatomy and can tailor the treatment to suit each patient's unique facial structure and skin type.


During the initial consultation, it is crucial for the practitioner to discuss the patient's expectations and desired outcomes. This allows the patient and practitioner to establish a clear understanding of what can be achieved and prevents any surprise or shock post-procedure. By ensuring open communication and realistic expectations, patients can experience the full benefits of tear trough filler treatments with confidence, knowing that their results will look natural and harmonious with their individual features.

Are there any risks with a tear trough filler procedure?

Tear trough filler injections have been widely recognised as an effective treatment for tear troughs, under-eye hollows and dark circles, providing patients with a more youthful and refreshed appearance. However, like any medical procedure, there are potential risks and complications that patients should be aware of.


Fortunately, serious complications and risks of tear trough injections. The most common side effects experienced by patients are mild bruising and swelling, which typically subside within a few days. These can easily be managed with ice packs and makeup.


It's important to note that some individuals may be intolerant to the filler materials used a tear trough procedure. This can result in prolonged or excessive swelling. In rare instances, irregularities in the treated area may occur. However, these issues can often be resolved with appropriate follow-up visits and adjustments by skilled practitioners.


To minimise any potential risks, it is crucial to seek treatment from experienced medical practitioners who have a thorough understanding of facial anatomy and the appropriate techniques for tear trough filler injections. Additionally, patients should disclose their medical history and be honest about any allergies or sensitivities they may have.


In summary, while there are some risks and complications associated with tear trough filler treatment, serious complications are rare. With proper medical supervision and adherence to aftercare instructions, patients can achieve natural-looking results and enjoy the benefits of tear trough treatment.

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.

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. 

inside PHI Clinic London

Tear trough treatment frequently asked questions


PHI Clinic
102 Harley Street,
W1G 7JB,
United Kingdom

Tel: +44 7883 317963

Opening Hours

Monday & Tuesday - 9:30am to 6:00pm
Wednesday & Thursday - 9:30am to 8:00pm
Friday - 9:30am to 5:30pm
Saturday & Sunday - Closed

Opening times can change, if your appointment is outside of these times please contact the clinic for confirmation.