Tear trough filler is a safe and effective way to reduce the appearance of hollow under-eyes, dark circles, and a tired appearance. At our Chiswick Clinic in West London, we provide expertly delivered tear trough filler treatments using hyaluronic acid-based fillers tailored for the delicate under-eye area. Whether caused by genetics or age, tear troughs can make you look fatigued and older than you feel. Our non-surgical cosmetic treatment offers a solution that is both subtle and transformative.
Tear trough fillers are a safe and effective injectable treatment used to rejuvenate the area under the eye, creating natural-looking results. The treatment restores volume loss, improves skin quality, and softens the harsh line often seen at the junction between the lower eyelid and cheek. The outcome is a refreshed and youthful appearance that still looks like you—just better rested.
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The tear trough area lies just below the lower eyelid and is composed of very thin skin, underlying blood vessels, and complex lymphatic drainage pathways. Even small irregularities can become visible, which is why precise filler placement is crucial. As a trained medical professional with over 15 years of experience, Dr. Bela uses advanced techniques to ensure consistent, natural results with minimal potential risks.
Not all patients are suitable for tear trough filler treatment. Ideal candidates are those with:
Patients with puffiness or fluid retention around the eye, especially noticeable in the morning, are not typically good candidates. This is due to the filler’s potential to interfere with lymphatic drainage. Your personalised consultation will determine if this injectable treatment is appropriate for you.
Dr. Bela performs all tear trough filler injections using a blunt-tipped cannula rather than a needle. This method lowers the risk of complications and allows for smoother, more controlled filler placement. A specially formulated hyaluronic acid filler is used that is neither too soft nor too firm—perfectly suited to this sensitive zone.
Unlike other areas of the face that may require topical numbing, the tear trough area is usually treated without any topical anaesthetic. The hyaluronic acid-based fillers used already contain a local anaesthetic to improve comfort during the injection process.
You will often see results immediately, although slight swelling at the injection site, or a bruise, may occur. These effects typically subside within a few days. In rare cases, if the amount of filler required causes prolonged puffiness, hyaluronidase can be used to dissolve the filler safely.
Aftercare instructions are provided to ensure optimal healing and long-lasting results. Because the under-eye area does not move as much as other parts of the face, results last between 18 and 24 months, making it one of the most durable dermal filler treatments.
Tear troughs may appear at any age due to genetics, or they may develop as you lose volume in the mid-face and under-eye area over time. Ageing reduces collagen production and skin elasticity, leading to sagging and fine lines under the eyes. Volume loss around the cheeks can deepen the appearance of tear troughs and darken shadows.
When tear troughs are part of an age-related concern, Dr. Bela may begin with cheek enhancement. Rebuilding cheek volume first helps rejuvenate the tear trough area, reducing the amount of filler required and creating a smoother transition between the lower eyelid and the cheek.
While tear trough filler is the most direct method of volume replacement, alternative treatments such as polynucleotides and PRP (platelet-rich plasma) are offered for skin quality improvement. These therapies promote collagen stimulation and tissue health but do not correct hollowness. They can, however, be used alongside fillers to optimise the effects of tear trough treatment.
Over the years, Dr. Bela has identified multiple melanomas on aesthetic patients—often in areas they hadn’t noticed themselves. In one notable case, during a Botox consultation, he spotted a small but suspicious lesion on a patient’s forehead. When reviewing previous treatment photos, it became clear that the melanoma had gradually developed over time, becoming increasingly visible across sessions. Despite its small size, the lesion was already an early invasive melanoma—but was thankfully detected in time. This case is just one of several examples highlighting how melanoma can remain hidden in plain sight. For this reason, Dr. Bela now offers a discounted mole check for all existing aesthetic patients, making it easier to combine cosmetic care with life-saving early detection.
All treatments are carried out by Dr. Bela, a highly experienced medical professional known for his work in facial aesthetics and dermal filler procedures. His understanding of facial anatomy and commitment to safety ensures the highest level of care and excellent results.
Typically, results from tear trough filler last 18 to 24 months.
Most patients report only minor discomfort during the injection. The cannula technique and built-in anaesthetic make the process very manageable.
Common side effects include temporary redness and swelling, and occasionally a bruise. These are mild and resolve quickly. Rarely, there may be swelling at the injection site or unevenness.
Yes, we can use hyaluronidase to dissolve the filler in rare cases where puffiness or irregularity occurs.
Yes, we offer tear trough filler for men as well, with techniques tailored to preserve masculine features.
Absolutely. We often combine under-eye fillers with cheek augmentation or skin boosters to enhance tear trough rejuvenation.
Contact our Chiswick Clinic today to book your consultation and discover how our bespoke tear trough filler treatment can help you feel more rested and confident. Whether you’re looking for affordable tear trough filler in West London or want to speak with a qualified under-eye filler expert near you, we’re here to help.
