Is tear trough filler safe?

When administered by an experienced clinician with detailed knowledge of periorbital anatomy, tear trough filler is considered safe. The eye area requires careful technique and the right product, which is why we use Eye-Boost, specifically designed for this delicate area. All treatments are carried out under the surgeon's oversight.

What is the best treatment for dark circles?

Dark circles can result from volume loss, thin skin, pigmentation, visible blood vessels, or a combination of these. The most effective approach depends on the underlying cause, which is why a thorough periorbital assessment is the essential first step. Many patients benefit from a combination of filler and skin-quality treatments.

Can I combine different eye treatments?

Yes, this is the foundation of the Perfect360™ Eye Programme. Combining treatments that address different layers and concerns around the eye produces a more complete and natural result than any single treatment alone. Your clinician will recommend the right combination for you.

How long do results last?

Results vary depending on the treatments used and individual factors. Generally, filler results in the tear trough area last 9-18 months, while skin-quality treatments such as polynucleotides and Redensity 1 are best maintained with periodic sessions. Your clinician will outline a realistic timeline during your consultation.

A natural result is the goal of every Perfect360™ treatment plan. Our conservative approach means we enhance rather than alter, and the staged delivery allows us to assess progress at each stage. Patients consistently tell us they look refreshed, not done.

The Perfect360™ Eye Programme: Periorbital Treatment

A staged, personalised combination of regenerative medicine, injectables and energy devices to treat the full periorbital area.

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The Perfect360™ Eye Programme: Periorbital Treatment illustration

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At a Glance

Duration: Varies by tailored plan
Driving: Immediately
Anaesthesia: Local
Hospital Stay: None
Excercise: After 1 day
Final results: Builds progressively over the staged programme

Why choose this treatment

Advantages of The Perfect360™ Eye Programme

Periorbital Rejuvenation

We assess all periorbital zones to provide a holistic eye rejuvenation treatment rather than treating a single concern in isolation.

Personalised Combination

Your plan is entirely bespoke and clinician-assessed, blending regenerative medicine, injectables, and energy devices for optimal results.

Doctor-Led Expertise

Your care is directed by professionals with specific expertise in complex periorbital anatomy, prioritising safety and conservative aesthetics.

Staged Delivery

Treatments are delivered in a staged journey, allowing the eye area to adapt naturally and promoting a natural outcome so you never look overdone.

The Procedure

How Does the Perfect360™ Eye Programme Work?

The Perfect360™ Eye procedure works by combining several advanced, clinician-assessed modalities tailored to your anatomy: Eye-Boost HA Filler, precisely placed to restore eye volume loss and expertly correct tear trough hollows; bioregenerative injectables, microinjections used to improve periorbital skin quality and generate deep collagen under the eye; and skin tightening and muscle relaxant treatments, using energy-based devices for non-surgical blepharoplasty effects combined with targeted treatments for lines and wrinkles for comprehensive crow's feet management.

During your treatment journey, different treatments are carefully administered stage by stage. For instance, skin tightening may be followed by volume restoration and skin conditioning in subsequent visits.

Staged results: Improvements begin early on, while final results build progressively as collagen is stimulated and treatments are layered. Minimal downtime: patients can typically return to work or social activities right away. Unrivalled expertise: performed under the care of a leading oculoplastic surgeon and her highly trained team.

Staged Periorbital Treatment How Does the Perfect360™ Eye Programme Work?

What is the Perfect360™ Eye Programme?

The Perfect360™ Eye Programme is a medical-grade, multi-modal treatment sequence. The delicate tissue surrounding the eyes ages uniquely because the periorbital zone comprises distinct anatomical layers, including skin, fat pads, muscle, and bone. Because these layers age at different rates, a single treatment rarely addresses all concerns. This programme combines advanced treatments such as:

Eye-Boost Hyaluronic Acid Filler: Our preferred Eye-Boost filler gently restores lost under-eye volume. It effectively softens tear trough hollows and reduces the shadowing that causes dark circles.
Polynucleotides: Polynucleotides work at the cellular level to significantly improve periorbital skin quality. It stimulates deep tissue repair to restore hydration and elasticity to the delicate skin around the eyes.
Skin Tightening: Energy-based skin tightening treatments safely tighten eyelid laxity without surgery. They are highly effective for managing crepey skin or providing a subtle tightening of lax eye bags.
Muscle Relaxant Treatments: These targeted treatments provide an essential option for smoothing crow's feet by relaxing dynamic expression lines. As part of our comprehensive approach, they beautifully smooth the outer eye for a rested appearance.
Bioregenerative injectables: Designed for the sensitive area around the eye, skin booster microinjections deliver intense hydration, amino acids, and vitamins. This powerful skin booster seamlessly smooths fine lines and supports lasting tissue rejuvenation.

What sets this programme apart is the approach itself. Rather than offering a single treatment for a single concern, the Perfect360™ Eye Programme begins with a thorough assessment of every periorbital zone: under-eye, upper eyelid, brow, temple, and outer canthus.

What Concerns Does The Perfect360™ Eye Programme Treat?

Tear trough hollowing: Sunken or shadowed under-eye areas caused by volume loss.
Dark circles: Discolouration from thin skin, pigmentation, or visible vasculature.
Crow's feet: Fine lines and creases at the outer corners of the eyes.
Fine lines and crepey skin: Loss of elasticity and collagen around the eye area.
Loss of brow support: Lowering of the brow contributes to a fatigued look.
Puffiness: Fluid retention or fat pad displacement beneath the eyes.

Meet the Experts Team

Dr Sabrina Shah-Desai

Oculoplastic Surgeon and Aesthetic Doctor

Dr Sabrina Shah-Desai is one of the UK's most experienced oculoplastic surgeons, with over two decades of surgical and non-surgical expertise. Her precise technique and empathetic nature make her a trusted choice for patients seeking the very best care.

Qualifications / Experience / Specialisations

Over 20 years of oculoplastic surgical experience
Featured in Tatler as "Best Eye Surgeon" and "Top Doctor" since 2019
"Best Aesthetic Doctor" - Safety in Beauty Diamond Award 2023
"Best Surgical Result" - Aesthetic Awards 2021
"Consultant Surgeon of the Year" - Aesthetic Awards 2022 (Highly Commended)
MyFaceMyBody Global 100 most influential practitioners 2019 & 2020
Advanced periorbital and facial rejuvenation expertise

Meet the Expert: Dr Sabrina Shah-Desai

Dr Sabrina Shah-Desai is the founder and Medical Director of Perfect Eyes Clinic. With over two decades of surgical and non-surgical experience, she is considered one of the safest, most experienced oculoplastic surgeons in the UK.

Her extensive training, combined with her caring and empathetic nature, makes her a natural choice for patients seeking the very best care. Dr Sabrina appears consistently in Tatlermagazine as one of the UK's “Best Eye Surgeons” and “Top Doctors” since 2019.

Learn About Dr Sabrina

Royal College of Surgeons of England - register of Board-Certified Cosmetic SurgeonsBest Aesthetic Doctor - Safety in Beauty 2023Consultant Surgeon of the YearBest Surgical Result - Aesthetic Awards 2021Tatler Best Eye Surgeon 2019-2026

Transparent pricing

The Perfect360™ Eye Programme: Periorbital Treatment Cost in London

Prices are a guide; your surgeon confirms the total during consultation.

EyeBoost™ Tear Trough Filler - £780 Per Syringe
Bioregenerative injectables - £480 Per Treatment
Energy-based treatments - starts from £600

Important: all cosmetic procedures incur 20% VAT. Fees are estimates and will be confirmed after medical consultation.

Book a medical consultation

Patient Questions About The Perfect360™ Eye Programme: Periorbital Treatment

Frequently Asked Questions

The questions patients ask most often, answered by the clinic. If yours isn’t here, ask us directly - we would be delighted to help.

When administered by an experienced clinician with detailed knowledge of periorbital anatomy, tear trough filler is considered safe. The eye area requires careful technique and the right product, which is why we use Eye-Boost, specifically designed for this delicate area. All treatments are carried out under the surgeon's oversight.
Dark circles can result from volume loss, thin skin, pigmentation, visible blood vessels, or a combination of these. The most effective approach depends on the underlying cause, which is why a thorough periorbital assessment is the essential first step. Many patients benefit from a combination of filler and skin-quality treatments.
Yes, this is the foundation of the Perfect360™ Eye Programme. Combining treatments that address different layers and concerns around the eye produces a more complete and natural result than any single treatment alone. Your clinician will recommend the right combination for you.
Results vary depending on the treatments used and individual factors. Generally, filler results in the tear trough area last 9-18 months, while skin-quality treatments such as polynucleotides and Redensity 1 are best maintained with periodic sessions. Your clinician will outline a realistic timeline during your consultation.
A natural result is the goal of every Perfect360™ treatment plan. Our conservative approach means we enhance rather than alter, and the staged delivery allows us to assess progress at each stage. Patients consistently tell us they look refreshed, not done.

Call or email us today, we would be delighted to answer your questions.

Ask a Question or Book an Appointment

Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi Stevens

“Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.”

Kealey Hessey

“Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.”

Jo Kirby

“I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.”

Shirley Ford

“I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.”

Radhika Rajan

“Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.”

Tina Stonely

“Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.”

Tanya Del Federico

“Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.”

Minda Wang

“I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.”

Samantha Andrews

“Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻”

Hayley Pearson

“I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!”