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Advanced Facial Aesthetics
by Professional Doctors

Tear Trough Fillers

"The results are absolutely fantastic and the shadowing under my eyes has disappeared!" - Natalie, Bristol

Tear Trough Fillers / Tear Trough Rejuvenation

What Are Tear Troughs

Tear troughs are created by the hollowing of the under eye area that can result from the gradual loss of connective tissue and subcutaneous (under-skin) fatty tissue from the eye area.

The result is a loss of facial volume and tissue elasticity — in the cheek area as well as under the eye — along with a mild reduction in bone volume and a general descent of skin.  These not only combine to create tear troughs. They also accentuate dark circles under the eyes, making people look tired and worried, even when they’re well-rested and happy.

Tear Trough Filler Before and After

The hollowness disappeared.

How Do Tear Trough Fillers Work

The aim of treating the tear trough area is to rejuvenate the appearance and restore the volume back to its previous levels.
This is achieved by optimally filling the tear trough area and making sure that there is no over-correction.  The reas0n we want to avoid over-correction is mainly due to the fact that we want to achieve the most natural end result possible and not create bulging under eyes.

The fillers work to:

  • Reduce hollowness
  • Reduce dark circles
  • Reduce areas of visible thin skin
  • Reduce shadowing
  • Refresh the eye area
  • Improve the appearance of wakefulness


” The treatment was quick and is best described as mild discomfort. I was so excited to see the hollows literally disappear before my eyes! Everyone has commented on how well I look, that I look somehow better without being able to pinpoint why. This is precisely the reaction I wanted!”


What To Expect After Tear Trough Treatment

  • There may be some mild discomfort during treatment, either when the injection takes place or during the massage that ensures a smooth contour, although many patients find it relatively pain-free.  We use topical and injected anaesthetic to reduce the pain to a minimum.
  • There may be some bruising and/or mild swelling but these normally disappear in around a week.
  • The filler will settle down within a few days and will feel soft and an integral part of the skin around the eye.
  • We will dispense some arnica gel to take home and massage into the treated area and this will reduce any inflammation and swelling.
    Arnica is also very effective at reducing bruising and minimising and bruises in and around the eyes.


 “After suffering with dark circles and not knowing what to do about it and spending a fortune on creams and serums, I decided to have my tear troughs corrected by Dr Sid and I wish I had had it done ten years ago!  It has taken years off and when it wears off I will definitely be straight back” – Karen, Cardiff


How Long Do Tear Trough Treatments Last

Hyaluronic acid fillers last from 6 – 24 months around the eye region, depending on how each individual responds to the filler ingredients.  Some people degrade the filler faster than others.

They are all fully biodegradable and will break down gradually over time.  As the absorption times differ with individuals, how the area looks and feels is the best indicator that a top-up is needed.

Left and Right Comparison during the procedure

Left and Right Comparison during the procedure

Are There Side Effects To Tear Trough Rejuvenation

There are very few reported side effects with these products, bruising being the most common as with any injections. This is usually minimal and can be covered effectively with make up.

You must mention to your practitioner if you are taking any blood thinning medications ie. aspirin or warfarin as one would be at higher risk of bruising.  However, this does not mean that we cannot proceed, it just mean we will take extra care to minimise bruising.

What Is The Aftercare

There is usually some swelling after having a tear trough rejuvenation and it is advisable to relax and minimise strenuous activity in the 24 hours after having the treatment.

After treatment, anti-inflammatories (e.g. ibuprofen) can help to reduce the swelling and we will provide you with arnica gel to massage gently into the area.  It is important to keep the area dry and clean and not manipulate the area too vigorously.


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