Tear Trough Filler

A brow or forehead lift elevates drooping brows and smooths forehead wrinkles, rejuvenating the upper face for a youthful, alert look with smoother skin and a defined brow arch.

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What are Tear Trough Fillers?

Tear trough filler, also known as under-eye filler, hyaluronic acid filler or dermal filler, is a specialised non-surgical cosmetic procedure designed to rejuvenate the under-eye area. This non-surgical, minimally invasive treatment involves precisely injecting a gel-like hyaluronic acid filler into the delicate under-eye area. Our expert approach replaces lost volume, a common effect of ageing, and enhances skin quality. The Tear tough treatment eliminates hollow grooves under the eyes disguising bags and restoring the continuum between the eyelid and cheek.

The immediate and striking results offer a more rested, youthful appearance and improvement in skin quality. Our expert medical professionals ensure a pain-free experience, using only one entry point to minimise discomfort and downtime. Beyond merely fixing dark circles, our treatments extend to improve overall facial anatomy when required, including adding volume to temples lips, brows, upper cheeks, and nasolabial folds through carefully administered injectable treatments.

Our tear trough rejuvenation is complemented by optional treatments such as Skinboosters, polynucleotides, BoNT injections or eye lifts. These are tailored specifically to each patient during the initial consultation, ensuring a holistic approach that addresses cosmetic concerns and boosts collagen production, providing long-lasting benefits.

At Ezra Clinic, your journey towards a more vibrant self is guided by some of the UK’s leading oculoplastic surgeons. We ensure every procedure is performed with the utmost care, promising only results that meet our high standards of perfection. We are also recognised world leaders in tear trough treatments, having published the largest series in the worlds. We have also pioneered the 3-point tangent technique with leads to better outcomes than other techniques

Our consultants also run a course for Tear Trough filler, attracting doctors from all over the world to learn from our approaches to this technique.

Trust us to refresh your appearance to reflect your inner vitality—safely and effectively.

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BoNT treatment

How Does Tear Trough Area Change as We Age?

The tear trough area, located at the interface between the lower eyelids and the upper cheek, is a key facial feature that affects the appearance of the eyes and overall facial aesthetics. This region is susceptible to the natural ageing process and may show signs of change even from adolescence, where it often appears as a deep crease due to constitutional features.

As we age, several transformations occur in the tear trough area: it becomes hollower and darker, and the skin may appear thinner and less elastic. These changes result in deeper depressions that can cause the eyes to look sunken, casting unflattering dark shadows that suggest fatigue, exhaustion, or advanced age. The loss of volume and the increased visibility of blood vessels in this delicate under-eye area are compounded by decreased collagen production, vital for maintaining skin elasticity and plumpness.

Additionally, surrounding tissues, including muscles and fat that support the eye structure, gradually diminish and shift, exacerbating the hollow appearance. These anatomical and physiological changes contribute to what is often perceived as a tired and aged look, significantly affecting one’s facial expression and overall aesthetic.

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Why Undergo Tear Trough Treatment?

Opting for tear trough treatment at Ezra Clinic offers a transformative solution for rejuvenating tired, sunken eyes, a common sign of ageing. By delicately administering hyaluronic acid fillers, this minimally invasive procedure effectively restores volume to the under-eye area, reducing dark circles and under-eye hollows. The result is an immediately fresher, more youthful look, enhancing overall facial harmony and boosting self-confidence with minimal downtime and long-lasting effects.

This treatment revives your appearance and aligns your outer vitality with your inner energy, reflecting a vibrant, successful persona. The Ezra Clinic’s approach, rooted in care and expertise, ensures a tailored treatment plan that harmoniously integrates with other aesthetic enhancements for a comprehensive rejuvenation that maintains natural facial expressions.

Who Can Not Have Tear Trough Fillers?

Not everyone is a candidate for Tear Trough filler. Ideal patients have very little in the way of bags with the hollows being the predominant problem beneath the eyes. In patients who have concomitant lower eyelid bags, surgery is often a better option as the amount of filler required to hide the bag would be considerable and can inevitably lead to swelling and irregularity in this area. In addition, patients with malar oedema or a propensity to facial swelling are also not good candidates for this treatment.

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What to Expect from Your Tear Trough Treatment Procedure

At Ezra Clinic, your tear trough treatment begins with a detailed consultation to tailor the procedure to your unique facial features and aesthetic goals.

Before Tear Trough Filler

During your initial consultation at Ezra Clinic, one of our expert consultants will thoroughly review your medical history and examine your eyes and facial anatomy. The discussion will cover the desired outcomes and the risks and benefits of the tear trough filler treatment, empowering you to make an informed decision.

Preparation guidelines include:

Avoid consuming alcohol for 24 hours before your treatment.
Aspirin should not be taken for seven days prior to the procedure.
Ibuprofen should be avoided for 48 hours before the treatment.

These precautions help minimise potential bruising and swelling at the injection site, ensuring the best possible results. Your consultant will provide all necessary pre-treatment advice during your consultation to ensure you are fully prepared for the procedure.

Tear Trough Filler Procedure

The procedure starts with applying a topical anaesthetic to numb the tear trough area, enhancing comfort during the treatment. Following this, our specialist injects a hyaluronic acid gel into the area. This gel replaces the volume lost due to ageing and stimulates collagen production, hydrates, and softens the skin, leading to a more youthful and revitalised appearance.

The procedure takes about 30 minutes but can be combined with other aesthetic treatments for more comprehensive facial rejuvenation. Depending on your specific goals, options include midface lifts, brow lifts, or liquid eye lift. During your consultation, the consultant will explore these options to tailor a treatment plan that best suits your aesthetic needs and expectations.

Can Filler Injections Be Used in the Upper Eyelid?

Hollowing in the upper eyelids, known as the upper eyelid sulcus, often results from natural ageing or previous surgical interventions, leading to a recessed appearance. Injecting fillers into this delicate area is a highly specialised technique, but when performed correctly, it can significantly rejuvenate the appearance of the eyes.

By restoring lost volume and smoothing the contours of the eyelid, these treatments can revitalise the overall expression, giving a fresher, more youthful look. This process, however, requires precise skill and an in-depth understanding of facial anatomy to ensure natural-looking and effective results.

After Tear Trough Filler

Recovery from tear trough filler treatments is typically swift, with results immediately visible. No downtime is required, allowing most patients to resume their regular activities and return to work on the same day. However, there is a slight possibility of experiencing some bruising or swelling during the first few days post-treatment.

To manage recovery effectively:

Apply a cold compress to the area every few hours to reduce swelling. Avoid direct heat and steam on the face
Apply Arnica cream to the tear trough area before bedtime to help reduce bruising overnight
Avoid touching the treated area for the first six hours post-treatment to prevent irritation
After six hours, gently wash the area with soap and water, dabbing gently rather than rubbing
Refrain from applying makeup or using skincare products for at least four hours after the treatment
Avoid exercise and alcohol for 48 hours to ensure the best healing conditions
Avoid exposure to extreme heat (e.g., saunas, sunbeds) or extreme cold for two weeks

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Tear Trough Filler Results

Tear trough fillers are a safe and effective way to rejuvenate the under-eye area, offering noticeable improvements in the appearance of tired eyes. Using hyaluronic acid-based dermal fillers, the treatment is designed to replace lost volume, soften under-eye hollows, and fix dark circles, giving the area a brighter, more youthful look.

By carefully placing dermal filler injections into the tear trough area, the treatment smooths out the transition between the lower eyelid and the upper cheek, providing a refreshed and revitalised appearance. These dermal filler treatments restore volume and improve the overall texture and quality of the skin.

You can expect their under-eye fillers to deliver long-lasting results, usually lasting 9-12 months, depending on individual factors. This minimally invasive procedure offers a natural enhancement without the downtime associated with surgery, making it a popular choice for those seeking to rejuvenate the under-eye area safely and effectively.

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Tear Trough Filler Before and After

woman Tear Trough Fillers Before and After

Tear Trough Before and After Fillers

This patient was particularly concerned about the tired appearance around their eyes, primarily due to tear trough hollowing rather than under-eye bags. Patients with this condition are well-suited for tear trough fillers, which effectively restore lost volume and refresh the under-eye area, leading to a rejuvenated, more vibrant appearance. The result is a significant improvement in their tired look, with a natural and revitalised outcome.

Tear Trough Filler Before and After

Tear Trough Filler

This patient presented with noticeable hollowing around the tear troughs, creating a tired and sunken appearance. To address this, tear trough fillers were carefully administered to both the tear troughs and upper cheeks, restoring lost volume and improving facial balance. The result was a refreshed, more natural look, significantly reducing the tired appearance and enhancing overall facial rejuvenation.

Woman before and after tear through fillers

Under-eye Filler

This is another example of a successful result for a younger patient experiencing early signs of lower lid bags. Under-eye fillers were used to effectively address the issue, offering a subtle yet rejuvenating improvement. The treatment itself takes around 10 minutes, with results that usually last for several years, providing a long-lasting solution for a refreshed and youthful appearance.

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Tear Trough Procedure Cost

At the Ezra Clinic, the tear trough filler treatment includes a consultation priced at £275, with the filler costing £720 per syringe, including VAT.

Tear Trough Filler FAQ

At what age should you get under-eye fillers?

There is no set age for getting under-eye fillers, as the need for treatment depends on individual factors like genetics, lifestyle, and early signs of ageing. Some people may experience volume loss and tear trough hollowing in their 20s or 30s, while others may not notice these changes until later in life. The treatment is ideal for anyone experiencing dark circles, under-eye hollows, or a tired appearance, regardless of age.

Are tear trough filler injections painful?

Tear trough filler injections are generally not painful. A topical anaesthetic is applied to the tear trough area before the procedure to numb the skin, ensuring minimal discomfort. Most patients report only feeling slight pressure during the injections. The treatment is designed to be a quick and comfortable experience, with little to no pain.

How long do under-eye fillers last?

The results of under-eye fillers last between 12-18 months, though this can vary depending on factors like the individual’s skin type, metabolism, and the type of dermal filler used. In some cases, results may last even longer as the hyaluronic acid filler gradually breaks down over time. Regular touch-ups can help maintain a consistently refreshed appearance.

When will results be visible?

Results from tear trough filler treatments are visible immediately after the procedure. However, there may be some mild swelling or bruising initially, which subsides over the next few days. The full effect of the treatment will become clearer once the area settles, usually within a week.

Do results look natural?

When performed by an experienced medical professional, tear trough fillers provide natural-looking results. The aim is to restore volume to the tear trough area, subtly improving the appearance of dark circles and hollows without making the face look overdone. The result is a refreshed and youthful appearance that enhances your natural features.

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