A tear trough is a three-dimensional depression beneath the eye, so changes in lighting can make it appear more or less prominent. Overhead or directional light can cast a stronger shadow within the hollow, sometimes making the area appear considerably darker even when there is little actual pigmentation.

Where the shadow is predominantly being created by a loss or absence of volume, carefully placed tear trough filler may reduce the depth of the depression and therefore soften this effect.

Our medical clinicians at Derma Plus Medical Nottingham assess the physical contour of the under-eye area rather than judging suitability from the appearance of dark circles alone.

Yes, some people naturally have more pronounced tear troughs because of their facial anatomy rather than developing them solely through ageing.

Having longstanding under-eye hollows does not automatically mean you are suitable for filler, however. The quality of the skin, degree of hollowing, presence of puffiness and underlying anatomy all influence whether treatment is appropriate.

If you are considering tear trough filler in Nottingham, these factors will be assessed before treatment to establish whether adding subtle volume could provide a worthwhile improvement.

There are circumstances where adding dermal filler beneath the eyes may not improve the concern and could potentially make the area appear heavier.

Prominent eye bags, significant puffiness, loose skin or a tendency towards swelling can affect suitability. The cause of dark circles also matters, as filler will not directly correct pigmentation or every form of under-eye discolouration.

A recommendation not to proceed is therefore an important part of responsible treatment planning. At Derma Plus Medical Nottingham, tear trough filler is only recommended when our medical clinician considers it appropriate for the anatomy and concern being assessed.

Not necessarily, and completely filling the tear trough is not always the most appropriate objective. The under-eye area requires particularly careful volume control, and attempting to eliminate every visible hollow can increase the risk of an overfilled or puffy appearance.

Our approach is to use the amount of low-density dermal filler considered appropriate to soften the depression and improve the transition beneath the eye.

At Derma Plus Medical Nottingham, we use a maximum of 1ml during an appointment. Where further correction may be beneficial, the area can be reassessed after the initial treatment has fully settled.

Arrive with little or no make-up around the treatment area where possible, and avoid alcohol for 24 hours before your appointment as this can increase the likelihood of bruising.

Tell your clinician about any medication or supplements you take, previous dermal filler, recent dental work, planned procedures and any illness or infection before treatment. Prescribed medication should never be stopped without advice from the healthcare professional responsible for your care.

Certain active skincare ingredients, including retinoids and glycolic acid, may also need to be avoided around the area for several days beforehand. Your Derma Plus Medical clinician will provide the relevant preparation guidance for your tear trough filler appointment.