Hyaluronic acid filler to soften under-eye hollowing and the shadowing it causes — in suitable patients.
Tear trough filler is a non-surgical treatment that may reduce the appearance of under-eye hollowing and shadowing, using hyaluronic acid placed between the lower eyelid and cheek.
By adding temporary volume, it may soften the transition between eyelid and cheek in suitable patients.
Not for every concern: it does not treat every cause of dark circles or puffiness; suitability is assessed at consultation.
Hyaluronic acid filler is placed into an appropriate tissue plane beneath the eyes, adding temporary volume. It attracts and binds water, influencing volume and appearance.
Swelling and bruising can affect the early look; the result is assessed after around 2–3 weeks. Duration varies between patients.
It may suit adults whose shadowing is primarily caused by volume loss, related to natural anatomy or age-related change.
Where puffiness is due to fat prolapse or fluid, or pigmentation causes dark circles, another approach may be more suitable.
This non-surgical injectable procedure involves placing hyaluronic acid dermal filler into selected tissue planes between the lower eyelid and cheek.
Where significant skin laxity or fat prolapse is present, surgical treatment may be more appropriate, while pigmentation or fluid-related puffiness may require a different approach.
Treatment may be performed using a needle or cannula, depending on the practitioner’s assessment and technique.
Not all under-eye concerns are appropriately treated with filler.
After treatment, you will receive individualised aftercare instructions intended to support recovery and reduce avoidable complications.
Follow the practitioner’s instructions and contact the clinic promptly if you develop increasing pain, marked changes in skin colour, visual symptoms or other concerning symptoms.
Results may remain visible for around 6–18 months, but duration varies according to the product and amount used, anatomy, metabolism and other individual factors.
An initial change may be visible immediately, but the treated area can appear swollen, bruised or uneven while settling.
A medical procedure with potential side effects and rare serious complications. Contact us promptly about worsening pain, colour change or visual symptoms.
Suitability is confirmed only after an in-person assessment by a qualified medical practitioner.
A medical practitioner assesses the under-eye area, medical history, previous treatments and expectations.
Procedure, alternatives, risks, recovery and expected outcomes are explained.
Filler is injected into the tear trough with a needle or cannula. A topical anaesthetic may be applied. It usually takes around 20 minutes.
Avoid strenuous activity, excessive heat and make-up near the sites for at least 24 hours. Temporary swelling, redness or bruising may occur.
Initial change may be visible straight away. Results may remain visible for around 6–18 months; duration varies and no outcome is guaranteed.
Individual results vary.
In suitable patients, tear trough filler may add temporary volume, soften hollowing and reduce shadowing. It does not treat true under-eye bags.
Everything patients usually ask before booking a tear trough consultation. Can’t find your answer? Our team will help.
Tear trough filler may be suitable for adults with under-eye hollowing where shadowing is primarily caused by volume loss, provided the area is clinically suitable. Suitability depends on anatomy, medical history, previous treatments, skin quality, expectations and the presence of puffiness, pigmentation or fat prolapse. Treatment may not be appropriate for everyone and will be assessed during consultation.
At Dr. Ducu Clinics, the filler product is selected following consultation and clinical assessment. The practitioner considers the under-eye anatomy, medical history, previous treatments, product characteristics and agreed goals, and explains the proposed product, alternatives, potential benefits and risks before treatment.
An initial change may be visible immediately, but swelling or bruising can affect the early appearance. The settled result is usually assessed after around 2–3 weeks, although timing varies between patients.
Duration varies between patients and depends on the product and amount used, anatomy, metabolism and individual biological response. Results may remain visible for around 6–18 months, but a precise duration cannot be guaranteed, and filler may remain for longer than expected in some cases.
Your appointment is usually scheduled for approximately 60 minutes, including consultation. Once treatment has been discussed and suitability confirmed, the injection procedure itself usually takes approximately 20 minutes.
To ensure optimal healing and help avoid complications, strict aftercare is required. For the first 24 to 48 hours, you must avoid alcohol, vigorous exercise and extreme heat, including saunas and hot showers. Crucially, you must avoid massaging, pressing or manipulating the treated area for 14 days to allow the filler to settle. Some initial swelling and bruising are normal; however, we provide a dedicated clinical review and remain in contact to ensure you are healing as expected.
Tear trough filler may be considered for selected under-eye concerns principally related to volume loss, including:
The price is determined by the treatment plan, including the product and volume required. A personalised quotation will be provided after consultation.
Tear trough filler injections may cause discomfort, pressure or stinging. A topical anaesthetic may be used where appropriate, but individual experiences vary and a pain-free treatment cannot be guaranteed.
As with any injectable procedure, tear trough filler carries risks and side effects. Common temporary effects include swelling, bruising, redness, tenderness, discomfort and asymmetry. Under-eye filler can also cause prolonged or recurrent swelling, visible or palpable filler, lumps, irregularity, migration, discolouration or a blue-grey Tyndall effect, infection, inflammatory reactions and granulomas. While extremely rare, vascular occlusion (blockage of a blood vessel) can potentially lead to tissue necrosis or irreversible vision loss. This underscores why our doctors prioritise deep anatomical expertise and safe cannula techniques.
At consultation we assess your anatomy and goals, and explain options, limitations and risks before any treatment.
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