Tear Trough Filler in London

The tear trough is the area between your lower eyelid and your cheek. As we age we lose volume here, which can cause hollows, dark circles and shadows under the eyes.

A firm ligament connects the skin to the bone under the eye. As the bone and surrounding tissue lose volume with age, this ligament pulls the skin inwards and the groove becomes more noticeable. It can look deeper still if the fat pads above it bulge forward.

Most people find it far less uncomfortable than they expected. The small injections can cause mild discomfort, but pain is usually minimal.

You may have some swelling, bruising and redness, which usually improve within 48 to 72 hours. The area looks fuller straight away, but it can take one to two weeks to see the final result.

For the first three nights, sleep on your back with your head raised on two pillows, or use a travel-style neck pillow to keep your head still. This helps the filler settle in place.

It can. Filler is not usually the right treatment for prominent eye bags and may make them look larger or bluish. We assess this carefully and will suggest alternatives if filler isn't suitable for you.

Some unevenness is common in the first few weeks and usually settles within two to three weeks. If anything remains after that, Dr Alexa may recommend gentle massage and will show you how to do it.

Typically 10 to 12 months, and sometimes longer, because there is little muscle movement in this area.

Mild swelling, redness and bruising are common for a few days, and occasionally bruising lasts up to ten days. Serious complications are rare, which is why this delicate area should only be treated by a medically trained practitioner.

No. Dermal fillers haven't been tested for safety in pregnancy or breastfeeding, so we wait until afterwards.

No. In the UK it is illegal to give dermal fillers for cosmetic purposes to anyone under 18, even with a parent's consent.