What tear trough filler is
The tear trough is the groove that runs from the inner corner of the eye down towards the cheek. As we age, volume in this area can reduce and the groove can become more noticeable, casting a shadow that makes the eyes look tired even when you are well rested.
Tear trough filler, often called under-eye filler, uses a hyaluronic acid gel to soften the contour between the lower lid and cheek. Any improvement is visible straight after treatment and continues to settle over the following few weeks as the gel integrates with the tissue.
Is under-eye filler in Stoke-on-Trent right for you?
Dark circles and tiredness around the eyes have more than one cause, and filler only helps some of them. A hollow that creates a shadow may respond to filler. Darkness from pigmentation, visible blood vessels, fine crepey skin or puffiness behaves differently, and adding volume can sometimes make those concerns look worse rather than better.
That is why your practitioner examines the area closely, in different lighting and from different angles, before recommending anything. If another approach is more likely to help, such as a skin rejuvenation treatment for pigmentation or skin boosters for skin quality, they will say so.
Who is not suitable for tear trough filler
We would rather tell you honestly that tear trough filler is not for you than treat you when it is unlikely to help. Treatment is not suitable if you:
- are pregnant or breastfeeding
- have an autoimmune condition
- are hypersensitive to hyaluronic acid or lidocaine
Your practitioner may also advise against treatment if the main cause of your concern is pigmentation, puffiness or loose skin rather than a hollow, if your medical history raises a safety concern, or if the result you are hoping for is not achievable with filler. In those cases they will explain why and talk through alternatives, which may include seeing your GP or another specialist.
Your consultation
Your first appointment is a face-to-face consultation lasting around 30–40 minutes. Your practitioner will review your medical history, carry out a thorough eye and facial examination, and discuss your expectations, the risks and the possible benefits so you can make an informed decision.
If, at that stage, tear trough filler is the right treatment for you and you are happy to proceed, treatment can go ahead. If it is not suitable, it will not. The consultation fee is £25, which is refundable against the cost of treatment. To arrange a time, book a consultation.
What happens during treatment
- The area is cleansed.
- A strong numbing cream is applied to the entry points and left for about 30–40 minutes to take effect.
- A small entry point is made and a cannula, a fine blunt-tipped tube, is used to place the filler.
- After aspiration, a safety check, the filler is injected carefully into the tear trough and gently smoothed.
Your practitioner will review the area with you before you leave and explain your aftercare.
Safety and aftercare
The skin under the eyes is thin, so swelling, tenderness and bruising can occur and are usually temporary. Your practitioner will explain the less common risks of treating this area before you consent, and what to look out for afterwards.
- Avoid strenuous exercise, alcohol and excessive heat, such as saunas, for 24–48 hours.
- Do not rub, press or massage the area unless you have been told to.
- Follow your written aftercare and call 01782 438998 if you have any concerns.



