Dark circles, hollowness, and tiredness under the eyes are among the most common aesthetic concerns we see at The London Aesthetic Clinic. The tear trough — the groove that runs from the inner corner of the eye down towards the cheek — can become increasingly prominent with age, creating a shadow that makes you look permanently tired or older than you feel. Under eye filler, also known as tear trough treatment, is one of the most effective non-surgical solutions available, and in this guide we explain everything you need to know.
What Is Under Eye Filler?
Under eye filler is a specialised dermal filler treatment that uses hyaluronic acid to fill the tear trough groove, reducing the appearance of hollowness, dark circles, and the tired look associated with under-eye shadowing. The treatment requires a very precise injection technique and a thorough understanding of periocular anatomy — the structures around the eye.
The tear trough is considered one of the most technically demanding areas for filler treatment. The skin under the eye is extremely thin and delicate, and the area is in close proximity to important vascular structures. For this reason, it is absolutely essential to choose a highly experienced, medically qualified practitioner. At The London Aesthetic Clinic, all tear trough treatments are performed by practitioners with specialist training in periocular aesthetics.
Am I a Good Candidate for Under Eye Filler?
Under eye filler is most effective for clients whose dark circles and tiredness are primarily caused by hollowness and shadowing in the tear trough — rather than by pigmentation or very thin, translucent skin. The ideal candidate has a visible groove or hollow under the eye, good skin quality, and realistic expectations about what the treatment can achieve.
Clients with significant under-eye bags (caused by herniated orbital fat), very thin or crepey skin, or dark circles primarily caused by pigmentation may not be ideal candidates for filler alone. A thorough assessment at The London Aesthetic Clinic will determine the most appropriate treatment approach for your specific concerns.
Causes of Under-Eye Hollowness and Dark Circles
| Cause | Description | Filler Suitable? |
|---|---|---|
| Volume loss | Loss of fat and bone in the mid-face creates shadowing | Yes — excellent results |
| Tear trough groove | Ligamentous attachment creates a visible groove | Yes — primary indication |
| Pigmentation | Melanin deposits in the skin cause dark colouration | Partial improvement only |
| Thin skin | Translucent skin reveals underlying vasculature | Limited benefit |
| Under-eye bags | Herniated orbital fat creates a bulge | Not recommended alone |
Frequently Asked Questions About Under Eye Filler in London
How much does under eye filler cost in London?
Under eye filler (tear trough treatment) in London typically costs between £350 and £650 per session. The tear trough area usually requires 0.5–1ml of filler per side. At The London Aesthetic Clinic, pricing is discussed in full during your consultation.
How long does under eye filler last?
Under eye filler typically lasts between 9 and 18 months. The tear trough area is relatively low-movement, which helps the filler last well. However, the thin skin in this area means results can vary. Maintenance treatments are recommended to sustain results.
Is under eye filler safe?
The tear trough is one of the most technically challenging areas for filler treatment due to the proximity of important vascular structures. It is essential to choose a highly experienced, medically qualified practitioner. At The London Aesthetic Clinic, all tear trough treatments are performed by practitioners with specialist training in periocular anatomy.
Can under eye filler remove dark circles?
Under eye filler can significantly improve the appearance of dark circles caused by hollowness and shadowing in the tear trough area. However, it cannot address dark circles caused by pigmentation or thin skin. A thorough assessment at The London Aesthetic Clinic will determine whether filler is the most appropriate treatment for your specific concerns.
What is the recovery time for under eye filler?
Most clients experience some mild swelling and possibly bruising for two to seven days following tear trough treatment. The under eye area is more prone to bruising than other areas due to the delicate skin and vascularity. Most clients can return to work the next day with concealer if needed.
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