The tear trough is the hollow or sunken area beneath the eyes that can create the appearance of dark circles or tiredness. This is a very common concern for both men and women and develops gradually over time due to natural changes in the skin, fat, muscles, and ligaments around the eyes. Genetics, lifestyle, and the ageing process all play a role in how prominently the tear trough develops.
These changes often cause a groove or depression that casts a shadow when light falls on the face — making the under-eye area appear darker and more fatigued. At our Marylebone Clinic, tear trough filler is used to gently lift and smooth this hollow, reducing shadowing and brightening the eyes for a fresher, more rested appearance.
The treatment is performed using a fine cannula via a single entry point, which minimises bruising and swelling while ensuring precision and comfort. The procedure typically takes around 15 minutes and is well tolerated by most patients.
For this delicate area, we use only soft, low-density dermal filler designed to blend seamlessly with the natural tissue beneath the eyes. Although softer fillers naturally break down more quickly than denser ones, results are long-lasting — with most patients enjoying a rejuvenated, bright-eyed look for 12 months or more.
