What Is Tear Trough Filler?
Tear trough filler is a specialised injectable treatment that targets the area under the eye, where people often lose volume due to ageing, genetics, or stress. This hollow area can cast shadows and make you appear tired or older than you feel.
Our procedure uses hyaluronic acid-based fillers to gently add volume and hydrate the under-eye region, reducing visible dark circles, smoothing out depressions, and enhancing overall skin quality.
What Can Tear Trough Filler Treat?
Tear trough fillers are effective in treating a variety of cosmetic concerns within the under-eye region:

Hollow Eyes & Volume Loss
Fillers can help restore lost volume and correct the sunken appearance often associated with age or genetics.

Dark Circles
Reduces pigmentation and shadowing caused by thin skin and underlying blood vessels.

Tired-Looking Eyes
Instantly revitalises the under-eye zone to give a refreshed, youthful appearance.

Under-Eye Bags & Puffiness
Smooths out uneven texture and transitions between the lower eyelid and upper cheek.

Genetic Tear Troughs
Addresses hereditary hollowness present even in younger patients.
This treatment offers a significant improvement in the appearance of tear troughs, delivering long-lasting results without the need for surgery.
Our expert team will evaluate your facial anatomy and skin type to design a personalised treatment plan for your procedure—one that guarantees safe, effective, and natural-looking results achieved with precision filler placement.
How Do Tear Trough Fillers Work?
Tear trough fillers work by replenishing lost volume beneath the eyes using dermal fillers, typically made from hyaluronic acid—a naturally occurring substance in your skin that attracts and retains moisture.
When expertly injected, the filler blends seamlessly with your natural tissues, lifting the under-eye area and softening the hollow groove between the lower eyelid and cheek. This reduces dark circles and creates a more youthful, rested look.
At the Institute of Medical Physics, we use only high-quality, FDA-approved fillers with optimal consistency for under-eye use. These specialised formulations ensure long-lasting results, minimal swelling, and a smooth, undetectable finish.
Treatment Overview
Our tear trough filler procedure is quick, virtually painless, and tailored to you. Here’s what to expect from start to finish:

Consultation
Your journey begins with a detailed consultation. We assess your facial anatomy, under-eye structure, skin thickness, and lifestyle to determine the most effective approach.

Preparation
The treatment area is gently cleansed, and a topical numbing cream is applied to ensure comfort throughout the procedure.

Injection
Using a fine needle or cannula, our aesthetic expert strategically injects the under-eye filler along the tear trough area. The filler is then massaged to distribute evenly.

Aftercare
Mild swelling or bruising may occur but typically resolves within 24–48 hours. You'll be given full aftercare instructions for optimal results.
Most patients see immediate improvement with peak results developing over the following week.
- Duration: 20–30 minutes
- Downtime: Minimal
- Results Last: 9–12 months
Why Choose the Institute of Medical Physics for Tear Trough Filler in London?
When it comes to filler treatment, choosing the right clinic is essential for achieving safe, beautiful, and long-lasting results. At the Institute of Medical Physics, we combine advanced medical knowledge with precision artistry to deliver exceptional outcomes in under-eye filler procedures.

Unmatched Expertise in Tear Trough Rejuvenation
Our team is led by Dr. Emanuel Paleco, a globally recognised leader in medical aesthetics and laser science. With decades of research into facial anatomy and treatments, we bring medical precision to every filler injection—ensuring you get results that are not only effective but tailored to your unique features.

Personalised, Data-Driven Treatment Plans
We don't believe in one-size-fits-all. Your filler journey starts with a detailed consultation where we assess your under-eye volume loss, skin quality, and overall facial balance. This allows us to design a bespoke treatment plan that delivers optimal, natural-looking results—whether you're dealing with deep tear trough deformities or subtle hollowness.

Advanced Techniques for Safe, Smooth Results
Our clinic uses the latest injection techniques, including micro-cannula delivery and ultrasound-guided placement, to minimise trauma, reduce the risk of bruising and swelling, and ensure the filler used integrates seamlessly.

Specialist in All Skin Types and Tones
With extensive experience treating diverse patients, including those with Fitzpatrick skin types 4–6, we know how to customise tear trough filler treatments for every complexion. Our understanding of melanin-rich skin allows us to achieve even, consistent results while avoiding common complications.

Subtle Enhancement, Never Overdone
Our aesthetic philosophy is simple: look like yourself, only fresher. By using premium fillers and focusing on conservative filler placement, we help you achieve a brighter, more youthful look without puffiness or distortion. The goal is always to reduce the appearance of tiredness—not change your face.

A Clinic You Can Trust
With thousands of procedures performed, glowing reviews, and a commitment to ongoing education and innovation, we are proud to be a leading choice. Whether you're exploring tear trough rejuvenation for the first time or correcting past treatments, we’re here to guide you with care, clarity, and confidence.
Tear Trough Filler Prices
We believe in transparent pricing and long-term value. Unlike some clinics that charge per syringe regardless of outcome, we base pricing on your specific goals and the amount of filler required to safely and effectively treat the tear trough area.
Treatment Area |
Price |
Tear Trough Filler (1ml) |
From £350 |
Top-up (within 6 months) |
From £200 |
Consultation |
Free |
Every treatment includes a comprehensive consultation, full aftercare guidance, and a 2-week post-treatment review to monitor your results and ensure your satisfaction.
About Us
The Institute of Medical Physics, founded by globally recognised medical physicist Dr. Emanuel Paleco and Dr. Saif Chatoo, is a centre of excellence in non-surgical cosmetic treatments and aesthetic laser technologies. With clinics in King’s Cross and satellite locations across North London and Essex, we deliver innovative, science-backed treatments that prioritise patient safety, precision, and effectiveness.
Our approach combines advanced dermal filler techniques with deep understanding of skin biology, injection site safety, and customised treatment planning. Whether you’re opting for tear trough filler, laser therapy, or a full facial aesthetics programme, our experienced team ensures you receive the highest level of care and the most natural-looking results achieved with minimal discomfort.
Discover StoryFrequently Asked Questions
What is tear trough filler, and how does it work?
Tear trough filler is a type of dermal filler treatment used to restore volume in the under-eye area, targeting the hollow space between the lower eyelid and cheek. It works by injecting a filler into the tear trough deformity, instantly improving skin quality, reducing shadows, and achieving a more youthful appearance.
How soon will I see results?
You will notice initial results immediately after treatment. Mild swelling at the injection site is common and typically resolves within 24–48 hours. Final results usually become visible within 7 days.
Is tear trough filler safe?
Yes. Tear trough fillers are generally safe when administered by a qualified medical professional. Our clinic uses dermal fillers that are well-tolerated by the body. We also offer hyaluronidase treatments in rare cases where the filler needs to be dissolved.
Who is a good candidate for tear trough filler?
Good candidates include those with mild to moderate volume loss, visible tear troughs, or dark circles due to hollowing or shadowing. During your consultation, we assess your skin type, anatomy, and goals to determine if a tear trough treatment is the right option for you.
What are the side effects of tear trough fillers?
Some patients may experience temporary bruising and swelling, especially at the injection site. Less common side effects include lumpiness or mild asymmetry, which can be corrected during your review appointment. Our use of cannulas helps minimise trauma and risk.
How long do tear trough filler results last?
While individual results may vary, most patients enjoy long-lasting results for 9 to 12 months. Some opt for a top-up after 6 months for optimal results. The effects of tear trough filler are longer lasting in this area due to minimal muscle movement compared to other facial zones.
What type of dermal filler is used?
We use premium fillers specifically formulated for delicate areas like the tear trough. These are softer, more fluid fillers designed to provide smooth, natural correction without puffiness or irregularities.
Can tear trough filler be reversed?
Yes. In rare cases where you’re not happy with the outcome or experience excessive swelling, the filler can be safely dissolved using an enzyme called hyaluronidase. This is part of our aftercare and safety protocol, ensuring peace of mind.
How long is the treatment time?
The treatment time is approximately 20–30 minutes, making it an ideal lunchtime procedure with minimal downtime. You can return to most daily activities straight after.
Will the results look natural?
Absolutely. Our aesthetic goal is to enhance, not alter. The tear trough filler is placed with extreme care using advanced filler placement techniques that ensure your results are balanced, subtle, and flattering to your features.
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