Brighten without bulking.
Book your tear-trough consultation at Dr Hans Clinics, London.
Tear Trough - Derma Filler
Tear Trough Filler London - Under-Eye Rejuvenation for Hollowness & Shadowing
From £350 Per session
The tear trough (under-eye hollow) can create tired-looking shadows even in well-rested individuals.
At Dr Hans Clinics, under-eye filler is used conservatively to restore smooth transition between the lower eyelid and upper cheek.
The objective is correction – not volume.
We use CE-certified hyaluronic-acid fillers including Kysense®, Juvederm®, Belotero®, and Revanesse®, selected for their low viscosity, high integration, and reduced water-binding capacity – essential for the delicate periorbital region.
Every treatment is preceded by prescriber assessment, anatomical evaluation, and photography for baseline comparison.
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HOW TEAR TROUGH FILLER WORKS
● Ageing, genetics, and bone resorption around the infra-orbital rim create a depression that casts a shadow.
● By introducing small volumes of HA filler in the sub-orbicularis plane, light reflection improves and the under-eye appears brighter and smoother.
Mechanism:
● HA integrates within soft tissue to re-support the tear-trough ligament.
● Hydrophilic HA restores dermal thickness and elasticity without excessive swelling.
● Precise cannula technique minimises bruising and vascular compromise.
Onset: Immediate
Peak : 2 Months
Duration: Typically 9 – 15 months
● By introducing small volumes of HA filler in the sub-orbicularis plane, light reflection improves and the under-eye appears brighter and smoother.
Mechanism:
● HA integrates within soft tissue to re-support the tear-trough ligament.
● Hydrophilic HA restores dermal thickness and elasticity without excessive swelling.
● Precise cannula technique minimises bruising and vascular compromise.
Onset: Immediate
Peak : 2 Months
Duration: Typically 9 – 15 months
WHY PATIENTS CHOOSE DR HANS CLINICS
● Doctor-led assessment of orbital anatomy and skin thickness.
● Conservative micro-volume dosing (usually ≤ 0.5 ml per side).
● Use of blunt cannula and slow, retrograde technique to reduce risk.
● Only CE-marked fillers formulated for peri-orbital application.
● Conservative micro-volume dosing (usually ≤ 0.5 ml per side).
● Use of blunt cannula and slow, retrograde technique to reduce risk.
● Only CE-marked fillers formulated for peri-orbital application.
EVIDENCE & SAFETY
● Peer-reviewed data confirm HA fillers can safely improve tear-trough deformities when performed by trained medical professionals (Aesthetic Surg J 2021; Dermatol Ther 2020).
● Temporary redness, mild swelling, or bruising are common and resolve within 48 hours.
● Rare complications include oedema, Tyndall effect (blueish hue), or vascular compromise – mitigated by appropriate product choice and anatomical precision.
● Contra-indications: Chronic sinus issues, active eczema/infection, recent surgery or filler in the same area, pregnancy.
● Temporary redness, mild swelling, or bruising are common and resolve within 48 hours.
● Rare complications include oedema, Tyndall effect (blueish hue), or vascular compromise – mitigated by appropriate product choice and anatomical precision.
● Contra-indications: Chronic sinus issues, active eczema/infection, recent surgery or filler in the same area, pregnancy.
TREATMENT PLAN & TECHNIQUE
● Consultation: Detailed ocular and mid-face analysis.
● Technique: Linear-thread or micro-bolus injections using 25 – 27 G cannula in sub-orbicularis plane.
● Anaesthesia: Topical only (for comfort).
● Procedure time: 30 – 40 minutes including consultation.
● Follow-up : 2 weeks to review symmetry and hydration.
● Technique: Linear-thread or micro-bolus injections using 25 – 27 G cannula in sub-orbicularis plane.
● Anaesthesia: Topical only (for comfort).
● Procedure time: 30 – 40 minutes including consultation.
● Follow-up : 2 weeks to review symmetry and hydration.
TIMELINE OF RESULTS
● Immediately : Reduction in shadow depth.
● 1 – 2 weeks : Full integration and brightness achieved.
● 6 – 12 months : Stability phase; natural resorption thereafter.
● 1 – 2 weeks : Full integration and brightness achieved.
● 6 – 12 months : Stability phase; natural resorption thereafter.
AFTERCARE
● Avoid touching or applying pressure for 48 hours.
● No eye makeup for 24 hours.
● Avoid gym, saunas, or alcohol for 24 hours.
● Sleep slightly elevated first night.
● Contact clinic if prolonged swelling, pain, or discolouration occurs.
● No eye makeup for 24 hours.
● Avoid gym, saunas, or alcohol for 24 hours.
● Sleep slightly elevated first night.
● Contact clinic if prolonged swelling, pain, or discolouration occurs.
EVIDENCE REFERENCES
● Pavicic T et al. Lower-eyelid rejuvenation with HA fillers: safety and outcomes. Aesthetic Surg J 2021.
● Raspaldo H et al. Anatomic guidelines for tear-trough augmentation. Dermatol Ther 2020.
● Raspaldo H et al. Anatomic guidelines for tear-trough augmentation. Dermatol Ther 2020.
COMPLIANCE STATEMENT
● Hyaluronic acid fillers used at Dr Hans Clinics are CE-marked Class III medical devices.
● Fillers used at Dr Hans Clinics – including Kysense®, Juvederm®, Belotero®, and Revanesse® – are CE-marked Class III medical devices administered by medical professionals only.
● Treatments are provided after medical consultation and prescriber assessment.
● No product is advertised as superior; selection depends on skin thickness and anatomy.
● Fillers used at Dr Hans Clinics – including Kysense®, Juvederm®, Belotero®, and Revanesse® – are CE-marked Class III medical devices administered by medical professionals only.
● Treatments are provided after medical consultation and prescriber assessment.
● No product is advertised as superior; selection depends on skin thickness and anatomy.
Pricing
Each syringe is single-use and dedicated to a single patient for sterility and precision.