Hyaluronic acid placed into the under-eye groove by an Independent Nurse Prescriber, to soften the shadow that reads as tiredness — in the cases where lost volume is genuinely what’s causing it.
£340
tear trough · free consultation
6–18 mo
results last
Reversible
dissolvable if needed
New client · free · no obligation
Almost nobody arrives asking about their tear troughs. They arrive because someone at work asked whether they’d been sleeping badly — at half past nine, on a Tuesday, after eight hours. The face has stopped reporting accurately, and the under-eyes are usually where that starts.
That shadow has several possible causes. Filler properly addresses one of them: a genuine hollow, where the under-eye has lost volume and light now pools in the dip instead of falling across it. Getting the cause right is most of the job, which is why the first appointment is a conversation rather than a syringe.
The tear trough is the groove running from the inner corner of the eye down towards the cheek. Hyaluronic acid — a substance your body already makes — is placed into that groove to restore support beneath the skin. As the dip softens, so does the shadow it was casting.
Inflating the area is not the aim. Enough product to let light fall evenly, and no more — the result should be that people can’t name what’s changed, only that you look less tired.
Skin under the eye is the thinnest anywhere on the body, and there’s very little tissue between it and the muscle beneath. Nothing hides an error here. Product sitting too close to the surface can show as a bluish shadow; too much of it, and the area holds water and puffs instead of smoothing.
So this is a precision job rather than a volume one. I would far rather place less, review you, and add a touch more than overfill an area you can’t cover with makeup while we wait for it to settle.
Your consultation is free, and the price is in front of you before anything is agreed. If a different treatment is the better answer for your under-eyes, you’ll be told that at the consultation, not after you’ve paid for this one.
Four things get regularly mistaken for a hollow. Filler doesn’t solve any of them.
Crepey texture and fine lines are a separate conversation again. That’s skin quality rather than volume, and polynucleotides do that job where filler doesn’t.
A consultation comes first — medical history, allergies, whether you’re pregnant or breastfeeding, and an honest read on what’s actually causing the shadow. Strong anaesthetic cream is applied, and the fillers contain added anaesthetic, so discomfort stays minimal.
Afterwards, expect some tenderness and swelling, occasionally small lumps or unevenness, for up to 14 days — though most of it settles within 72 hours. Bruising is possible in this area, which is worth planning around if you have something on in the next fortnight. Results last 6 to 18 months as your body gradually breaks the product down.
Tear trough correction is one of the most technically demanding filler areas, and the literature treats it that way. Published studies and consensus reviews report high patient satisfaction with hyaluronic acid correction of under-eye hollows, with effects lasting roughly 9–12 months, but also flag it as a higher-skill, higher-risk area — swelling, Tyndall (bluish) effect and overcorrection are the documented adverse events, and anatomical knowledge is repeatedly emphasised as the determining factor in outcomes. What the research is honest about: not every under-eye concern is a volume problem — pigmentation and skin laxity need different treatments — and patient selection matters as much as technique.
That look comes from too much product, or product placed too superficially in skin too thin to carry it. The way round it is conservative placement and a review rather than filling to a target volume on the first visit. And if a lump does appear, hyaluronic acid can be dissolved.
A strong anaesthetic cream goes on first and the filler itself contains anaesthetic. Most people describe pressure rather than pain. The area is tender for a day or two afterwards.
Most swelling and unevenness settles within 72 hours, though it can take up to 14 days to fully resolve. Bruising is the variable — if you bruise easily, leave a clear fortnight before anything important.
Hyaluronic acid filler is reversible. It can be safely dissolved with hyaluronidase, and the area returns to how it was.
Tear-trough filler works for hollow-related shadowing — not for darkness caused by pigmentation, which responds better to IPL or skincare. It is not suitable during pregnancy or breastfeeding. The under-eye is the most delicate area on the face to treat, which is why it's done only by Georgie, an Independent Nurse Prescriber, after a full consultation. We'll tell you honestly if filler isn't the answer to your dark circles.
The full price list is on our prices page. Tear trough is one part of the wider dermal fillers menu, and the filler pricing guide explains why quotes differ so much between clinics. Where the concern is texture rather than a hollow, read under-eye polynucleotides for the alternative. See the injectables aftercare guide for what to expect after treatment.
That’s the useful question, and it takes about two minutes to answer in person. Book a free consultation and you’ll get a straight read on what’s causing the shadow — and whether filler is the right tool for it.
Book a free consultation