The tear trough is the natural groove extending from the inner corner of the eye towards the upper cheek. Its prominence varies considerably between individuals and can be influenced by genetics, underlying bone structure, soft tissue distribution and changes associated with facial ageing.

Some people have a noticeable tear trough from a relatively young age, while others develop greater hollowing as support and volume within the mid-face change over time. The resulting depression can create a shadow beneath the eye that makes the area appear darker or more tired.

For patients considering tear trough filler in London, understanding why the hollow is present helps determine whether restoring volume with dermal filler is likely to provide an appropriate improvement.

Not every concern beneath the eyes is caused by volume loss. Dark circles may be influenced by pigmentation or vascular visibility, while puffiness can relate to fat pads, fluid retention or other anatomical factors. Skin laxity can also contribute to changes around the lower eyelid.

Adding dermal filler when hollowing is not the primary concern may provide little benefit and, in some cases, can make the under-eye area appear heavier.

At Derma Plus Medical London, our medical clinicians assess the characteristics of the under-eye area before recommending tear trough filler. Where another factor is predominantly responsible for the concern, this will be discussed during your consultation rather than automatically proceeding with filler.

Potentially, yes. Tear trough hollowing is not exclusively associated with ageing. Some patients naturally have a deeper groove beneath the lower eyelid because of their underlying facial anatomy and may notice a tired-looking under-eye area even when they are younger.

Suitability is determined by the structure of the area rather than age alone. Skin quality, lower-eyelid anatomy, existing puffiness and the relationship between the tear trough and upper cheek all need to be considered.

During a consultation for under-eye filler in London, our medical clinicians assess these factors to establish whether carefully placed dermal filler could appropriately soften the hollow.

The tissues beneath the eyes are considerably more delicate than many other areas commonly treated with dermal filler. Product characteristics therefore matter when treating a tear trough.

At Derma Plus Medical London, we use a very low-density dermal filler suited to creating subtle volume within the under-eye hollow. Small amounts are placed using a micro-cannula, allowing the area to be treated conservatively.

We also limit treatment to a maximum of 1ml during an appointment. The objective is not to completely fill every visible depression, but to achieve an appropriate degree of correction while avoiding excessive volume within this delicate area.

Before booking treatment, it is important to understand both what tear trough filler can achieve and what it cannot. The treatment is primarily intended for suitable under-eye hollowing and should not be viewed as a universal treatment for dark circles, eye bags or tired-looking eyes.

Your medical history, medications, allergies, previous facial filler and other relevant treatments should be discussed with your clinician. Prescribed medication should never be stopped without advice from the healthcare professional responsible for your care.

At Derma Plus Medical London, treatment is performed by experienced medical clinicians as part of a CQC-registered, medical-led aesthetics business. Your consultation provides an opportunity to assess suitability, discuss the potential risks and limitations of under-eye filler and establish whether treatment is appropriate before proceeding.