Why choose tear trough fillers treatment?

Tear trough filler treatment can help correct true hollowness or contour irregularities beneath the eyes when these changes cause visible shadowing. The goal is to restore a smooth transition between the lower lid and cheek, improving comfort and symmetry.

Do tear trough fillers work for eye bags and dark circles?

Yes - tear trough fillers are an excellent way to treat dark circles, mild eye bags and under-eye hollows. If your eye bags are moderate to severe, you may want to consider a lower eyelid blepharoplasty.

What are the popular tear trough fillers?

The dermal fillers we use are made from hyaluronic acid - a substance that occurs naturally in the body. These types of fillers are biodegradable, which means that they will gradually be absorbed as the gel breaks down and water takes its place. When totally absorbed, the filler gel disappears unnoticed from the body.

Do tear trough fillers hurt?

We apply topical anaesthesia under the eyes for 10-15 minutes before your treatment, meaning that the tear trough filler injections are virtually painless. The fillers themselves also contain an anaesthetic to make the treatment more comfortable.

When will I see a result from under-eye fillers?

The procedure normally takes less than 15 minutes, and the tear trough fillers produce instant results. The procedure can cause extremely slight swelling, so while the area will appear fuller right away, we recommend waiting a week to see the full effect. If you have a slight problem in your under eyes as well as a tear trough insufficiency, you will want a specialised skincare regimen to remove this pigmentation. In this case, the fillers will provide immediate relief from shadowing and thin skin issues, but it will take several weeks to address the pigmentation issue.

Will it look natural?

We've all seen celebrities who have 'filler faces' with puffy cheeks who don't look like themselves anymore. This is what happens when a practitioner has placed too much filler in the wrong places, without understanding facial anatomy. Fillers are simply products used to replace the volume we lose in our faces. The aim is to achieve a natural, balanced result that maintains each patient's normal appearance and facial harmony.

What if I don't like the result?

Tear trough fillers can take a few weeks to settle. If after this period you don't like them, they can be dissolved by injecting hyaluronidase, which takes less than 24 hours to work. That means if you're ever unhappy with the result, it's quick and easy to go back to your normal self.

What does recovery look like after tear trough fillers?

There's negligible downtime after tear trough fillers - most people can go back to work immediately after their treatment. Keep in mind that some patients experience bruising and mild swelling (although others don't). So, it's best to leave two weeks before any important social events.

What are the risks associated with tear trough fillers?

Tear trough filler treatments, commonly known as dermal filler injections and hyaluronic acid fillers, are typically safe but may have negative effects. The most prevalent transient adverse effects are as follows: Swelling Granuloma (small area of swelling or inflammation) Infection Bruising Bruises and lumps usually visible for 3-7 days Blindness (very rare)

Who is not the right candidate for the tear trough filler?

The following individuals are not suitable candidates for tear trough fillers: Those with a known allergy to the product or lidocaine Individuals with an active skin or systemic infection People who have consumed alcohol, as it may increase the risk of bruising Pregnant women Breastfeeding mothers

Experts in Tear Trough Fillers in London

Reduce under-eye hollowness and restore comfort with Dr Sabrina’s clinically led approach to managing tear-trough concerns.

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Before & After Tear Trough Fillers before and after, a patient of Dr Sabrina Shah-Desai

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Tear Trough Fillers

At a Glance

Duration: 15 Minutes
Driving: Immediately
Anaesthesia: Topical
Hospital Stay: None
Exercise: After 1-2 days
Final results: immediate

Why choose this treatment

Advantages of Tear Trough Fillers

Restores Smooth Contour

Corrects hollowness or uneven texture under the eyes, improving the transition between the lower lid and cheek.

Enhances Comfort

Helps relieve irritation or tiredness caused by tissue laxity, fat prolapse, or ligament tethering.

Tailored to the Cause

Each treatment plan targets the true cause of shadowing, whether it’s skin thinning, volume loss, or structural imbalance.

Safe and Precise

When volumisers are used, they are placed with ultrasound guidance and established safety protocols for accurate, natural results.

The Treatment

What is Tear Trough Filler?

The tear trough is the delicate junction between the lower eyelid and upper cheek. With age, changes in skin, fat, and ligament support can cause hollowness, puffiness, or shadowing. Our approach focuses on identifying and addressing the underlying cause, whether from volume loss, skin thinning, or fat pad descent.

With over 20 years of experience treating complex facial anatomy, Dr Shah-Desai is an oculoplastic surgeon who created a biplanar technique of correcting the tear trough deformity called Eye-Boost™, which can help restore contour and support the under-eye area.

Watch: Tear Trough Fillers

Eye-Boost™ Technique How Does Tear Trough Filler Procedure Work?

The Procedure

How Does Tear Trough Filler Procedure Work?

Tear trough fillers are a nonsurgical and minimally invasive treatment. Initially, we capture your picture so you may compare the before and after of your treatment. During the procedure, we start by numbing the tear trough area with a topical anaesthetic and then the team waits a few minutes for the area around your eyelids to go numb.

The procedure takes around 15 minutes, during which Dr Sabrina carefully injects filler beneath the skin in tiny aliquots using a very fine needle or cannula. After that, she will assess how the filler addresses your dark circles and volume deficit; if required, she will apply more filler to specific locations. Following the procedure, she also provides you with expert skincare guidance to assist preserve and protect the delicate skin around your eyes.

Real Patient Results

Tear Trough Filler Before and After

5 cases

Individual results vary. All photographs are of real patients treated by Dr Sabrina Shah-Desai and are published with consent.

In their words

Tear Trough Filler Videos

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

Tear Trough Fillers Cost in London

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

EyeBoost™ Tear Trough Filler Cost £780 Per Syringe.

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

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Patient Questions About Tear Trough Fillers

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.

Tear trough filler treatment can help correct true hollowness or contour irregularities beneath the eyes when these changes cause visible shadowing. The goal is to restore a smooth transition between the lower lid and cheek, improving comfort and symmetry.
Yes - tear trough fillers are an excellent way to treat dark circles, mild eye bags and under-eye hollows. If your eye bags are moderate to severe, you may want to consider a lower eyelid blepharoplasty.
The dermal fillers we use are made from hyaluronic acid - a substance that occurs naturally in the body. These types of fillers are biodegradable, which means that they will gradually be absorbed as the gel breaks down and water takes its place. When totally absorbed, the filler gel disappears unnoticed from the body.
Most patients keep their results for 6-18 months. However, the period of time a tear trough treatment lasts varies by individual. This is determined by a variety of factors, including your age, skin type, lifestyle, and physical activity.
We apply topical anaesthesia under the eyes for 10-15 minutes before your treatment, meaning that the tear trough filler injections are virtually painless. The fillers themselves also contain an anaesthetic to make the treatment more comfortable.
The procedure normally takes less than 15 minutes, and the tear trough fillers produce instant results. The procedure can cause extremely slight swelling, so while the area will appear fuller right away, we recommend waiting a week to see the full effect. If you have a slight problem in your under eyes as well as a tear trough insufficiency, you will want a specialised skincare regimen to remove this pigmentation. In this case, the fillers will provide immediate relief from shadowing and thin skin issues, but it will take several weeks to address the pigmentation issue.
We've all seen celebrities who have 'filler faces' with puffy cheeks who don't look like themselves anymore. This is what happens when a practitioner has placed too much filler in the wrong places, without understanding facial anatomy.

Fillers are simply products used to replace the volume we lose in our faces. The aim is to achieve a natural, balanced result that maintains each patient's normal appearance and facial harmony.
Tear trough fillers can take a few weeks to settle. If after this period you don't like them, they can be dissolved by injecting hyaluronidase, which takes less than 24 hours to work. That means if you're ever unhappy with the result, it's quick and easy to go back to your normal self.
There's negligible downtime after tear trough fillers - most people can go back to work immediately after their treatment. Keep in mind that some patients experience bruising and mild swelling (although others don't). So, it's best to leave two weeks before any important social events.
Tear trough filler treatments, commonly known as dermal filler injections and hyaluronic acid fillers, are typically safe but may have negative effects. The most prevalent transient adverse effects are as follows:

Swelling
Granuloma (small area of swelling or inflammation)
Infection
Bruising
Bruises and lumps usually visible for 3-7 days
Blindness (very rare)
The following individuals are not suitable candidates for tear trough fillers:

Those with a known allergy to the product or lidocaine
Individuals with an active skin or systemic infection
People who have consumed alcohol, as it may increase the risk of bruising
Pregnant women
Breastfeeding mothers

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!”