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.
Price includes initial treatment and standard review. Due to individual anatomy and how filler settles, further product may occasionally be required to achieve balance and will be charged separately.