TEAR TROUGH FILLER
What is Tear Trough Filler?
Tear trough filler is a non-surgical treatment designed to restore volume beneath the eyes, reducing the appearance of hollows and creating a brighter, more refreshed appearance. Using carefully selected hyaluronic acid filler, Dr Sultan can soften under-eye shadows and improve the transition between the lower eyelid and cheek, whilst maintaining a natural look.
This highly specialised treatment is only suitable for carefully selected patients. During your consultation, Dr Sultan will assess your facial anatomy, skin quality and the cause of your under-eye concerns to determine whether tear trough filler is the most appropriate option or whether another treatment would provide a better result. Careful patient selection is widely recognised as one of the most important factors for achieving safe, natural outcomes.
Key Information
Price: From £450
Areas: Under-eye (tear trough)
Time: 30 - 45 minutes
Recovery: 2-7 Days
Pain: Mild - Moderate (with numbing)
Frequency: 12 - 18 months (Longevity varies depending on the individual and the product used.)
Additional information
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Tear trough filler is designed to restore lost volume beneath the eyes, helping to reduce the appearance of tired-looking hollows and shadows. It is most suitable for patients whose under-eye concerns are caused by volume loss rather than prominent eye bags or excess skin.
Treatment may be suitable if you wish to:
Improve hollow or sunken under-eyes
Reduce the appearance of dark shadows caused by volume loss
Create a smoother transition between the lower eyelid and cheek
Refresh a tired appearance without surgery
Restore facial balance with subtle, natural-looking results
Not every patient is suitable for tear trough filler. Individuals with significant eye bags, excess skin or fluid retention may benefit from alternative treatments instead. A detailed consultation ensures the safest and most appropriate treatment plan.
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Tear trough filler uses a soft hyaluronic acid gel to replace volume that has been lost beneath the eyes. Hyaluronic acid is a naturally occurring substance found within the skin that attracts water and provides hydration and support.
When placed precisely beneath the tear trough, the filler softens the hollow between the lower eyelid and upper cheek. This reduces shadowing, giving the eyes a brighter, less fatigued appearance whilst maintaining normal facial movement.
The under-eye area requires exceptional precision due to its delicate anatomy. Dr Sultan uses conservative treatment techniques and carefully selected products to achieve subtle, natural enhancement whilst prioritising safety.
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For optimal facial rejuvenation, tear trough filler can be combined with other treatments depending on your concerns.
These include:
Anti-wrinkle injections (Botox®) to soften crow's feet and dynamic wrinkles around the eyes.
Morpheus8® to improve skin quality, firmness and collagen production.
SkinPen® Microneedling to enhance skin texture and stimulate collagen.
Platelet Rich Plasma (PRP) to improve skin quality and support under-eye rejuvenation.
Medical-grade skincare to improve pigmentation, hydration and long-term skin health.
During your consultation, Dr Sultan will recommend the most appropriate combination for your individual concerns.
Frequently Asked Questions
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Following treatment you should:
Avoid touching or massaging the treated area for 24 hours.
Avoid strenuous exercise for 24 hours.
Do not apply makeup around the eyes for 12 hours.
Avoid excessive heat, saunas and steam rooms for 24 hours.
Sleep with your head slightly elevated on the first night if possible.
Avoid alcohol for 24 hours to help minimise bruising.
Apply a cool compress if mild swelling occurs.
Protect the skin with a broad-spectrum SPF 50 sunscreen as part of your daily skincare routine.
Mild swelling or bruising is common and usually settles within a few days.
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Although tear trough filler is generally safe when performed by an experienced medical practitioner, the under-eye is one of the most technically demanding areas to treat.
Common temporary side effects include:
Swelling
Bruising
Tenderness
Redness
Less common risks include:
Asymmetry
Persistent swelling (oedema)
Visible or palpable filler
Tyndall effect (bluish appearance beneath thin skin)
Filler migration
Infection
Granuloma formation
Rare but serious complications include:
Vascular occlusion
Skin necrosis
Visual disturbance or blindness
These risks are minimised through careful patient selection, expert knowledge of facial anatomy and appropriate injection technique, but cannot be eliminated entirely.
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Prior to arrival
For one week before treatment:
Stop using topical retinol, exfoliating acids, vitamin C and abrasive scrubs around the treatment area.
If you take blood-thinning medication, including aspirin or ibuprofen, discuss this with your prescribing doctor before stopping any medication.
Attend treatment without eye makeup if possible.
On arrival
Dr Sultan will perform a detailed consultation, assess your facial anatomy and discuss whether tear trough filler is appropriate for your concerns.
Clinical photographs will be taken before treatment.
Once your treatment plan has been agreed, a topical anaesthetic will be applied before carefully placing the filler beneath the eyes using an advanced injection technique.
Most patients experience minimal discomfort.
Results
Results are visible immediately, although mild swelling may initially obscure the final outcome.
The filler usually settles over 10–14 days, revealing a smoother, brighter and more refreshed appearance.
A complimentary review appointment may be recommended if required.
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Tear trough filler may not be suitable for:
Patients who are pregnant
Patients who are breastfeeding
Patients with significant lower eyelid bags
Patients with excess lower eyelid skin
Patients with chronic under-eye swelling or fluid retention
Patients with active skin infection near the treatment area
Patients with certain autoimmune or inflammatory conditions
Patients with unrealistic expectations
During your consultation, Dr Sultan will advise whether tear trough filler is the most appropriate treatment or recommend a more suitable alternative where necessary.