Concealer covers the colour, but that little dip beneath your eyes still catches the light. Perhaps it's become deeper over time. Or you've always had under-eye hollows and would quite like them to stop making you look tired.
Tear trough filler restores volume beneath the eyes, smoothing the hollow where the lower eyelid meets the cheek. As the dip becomes less obvious, so can its shadow.
Dr Alex will examine your under-eye area and explain the improvement he thinks is achievable. The aim is for you to look in the mirror and see fresher-looking eyes, with less of that tired appearance underneath.
i
Treatment with Dr Alex, a dermal filler educator and current trainer for Evolus's Estyme filler range.
Does this sound familiar?
Your eyes look more tired than you'd like
Under-eye hollows can be a long-standing feature or something you've noticed becoming more obvious recently.
There's a groove beneath your eyes
Concealer isn't quite doing the job
You've always had these shadows
Before you book
The details of under-eye filler
Tear trough filler treats a hollow beneath the eye. At consultation, Dr Alex will check whether that hollow is the main cause of the shadow you see.
A fresher eye area
Less shadow, more of your eyes
Softening the hollow can make the transition from your lower eyelid to your cheek look smoother, so your eyes look less tired.
You may notice that the groove is less visible from the front, or that the shadow beneath it no longer looks as deep. The change comes from improving the contour, rather than adding a lighter colour to the skin.
If both hollowing and pigmentation contribute to your dark circles, filler may improve the shadow while some skin colour remains. Dr Alex will explain which part he expects to change, so you have a realistic idea of the result.
The aim is to soften the dip without creating a ridge or unnecessary bulk beneath the eye. That can mean leaving a little natural contour rather than trying to make the area completely flat.
✓
✓
✓
✓
✓
Would filler help?
What's behind the darkness under your eyes?
Hollows, skin colour and puffiness can look similar at a glance, but they don't need the same treatment.
Dark circles and eye bags
Filler doesn't treat every cause
Filler doesn't remove pigment from the skin or remove an eye bag. If swelling, prominent bags or loose skin are the main problem, filling the area may give little benefit or make it look puffier.
Dr Alex will explain whether skin treatment, another approach or a surgical opinion would be more useful. A consultation can help you identify the cause without committing you to filler.
How it works
Softening the dip that casts the shadow
A hyaluronic acid gel adds volume beneath the hollow, reducing the difference in height between the lower eyelid and the cheek.
A hollow can look dark because of the way light falls across it. Making that dip shallower can reduce its shadow, which is why the eye area may look brighter after treatment.
This is different from treating brown pigmentation or the colour of blood vessels visible through thin skin. Filler changes the contour. It isn't a skin-lightening treatment, and it doesn't replace treatments aimed at skin quality.
Your appointment
Start with what you see beneath your eyes
Show Dr Alex the hollow or shadow that bothers you. He can examine you in person and explain which changes treatment is likely to make.
Assess the cause
Agree on the likely improvement
Treat the hollow
Let the result settle
Why choose Dr Alex?
An experienced filler doctor for your under-eyes
Dr Alex teaches doctors, dentists and nurses how to carry out dermal filler treatments. His experience spans several filler ranges, including his current role as a trainer for Evolus's Estyme range.
For under-eyes, choosing whether to use filler is as important as carrying out the injections. He'll examine the hollow, the skin and the cheek beneath it, then explain what is contributing to the tired appearance you want to change.
You can ask him directly how much of the shadow he expects to improve. If the main problem is puffiness or skin quality, he'll discuss options aimed at that concern rather than simply adding volume.
GMC-registered doctor · 7072776
Full Member of BCAM
International toxin trainer
Aesthetics Awards winner 2021
Side effects and suitability
What should you know about under-eye filler?
Bruising, tenderness and swelling can occur after treatment. Because the skin here is thin, small irregularities may be more visible than elsewhere on the face.
Possible side effects
Other possible problems include persistent puffiness, unevenness, visible filler or a blue-grey tint, infection and delayed inflammation. Contact Dr Alex if a change isn't settling or develops later.
Filler can also block a blood vessel. This is uncommon but can cause tissue damage, and very rare complications include permanent loss of sight. Neither a cannula nor a particular technique makes treatment risk-free.
Symptoms that need immediate attention
Seek urgent help for increasing or unusual pain, pale or mottled skin, or a dusky colour around the treated area. Contact SONÜ immediately and seek urgent medical care if the clinic is unavailable. For any change in vision, sudden weakness or difficulty speaking, call 999 and say you've had filler.
When filler may be unsuitable
Active infection or inflamed skin near the eyes needs assessment before treatment. Tell Dr Alex about pregnancy or breastfeeding, allergies, medicines and previous filler reactions. Recurrent under-eye swelling, significant bags or existing filler problems may make another approach more appropriate.
Have the questions answered before deciding whether treatment is right for you.
Treatment costs
What does tear trough filler cost?
Tear trough filler is listed at £550. The same fee is listed for under-eye filler; these are two names commonly used for this treatment.
£
From £
% off
Priced after consultation
£
From £
% off
Priced after consultation
A few more questions
Questions about tear trough filler
Including dark circles, eye bags and how filler compares with skin treatments.
Is tear trough filler the same as under-eye filler?
Will it get rid of my dark circles?
Does it remove eye bags?
Would polynucleotides be better?
Do I need cheek filler first?
How long does it last?
Will the injections hurt?
How much time should I leave before an event?
Can under-eye filler be dissolved?
What if I've had tear trough filler elsewhere?
Other options
When your under-eyes need a different approach
Polynucleotides may suit skin-quality concerns, while cheek filler may help when support below the eye has been lost. Dr Alex can also discuss treatments for pigmentation or loose skin when those are the main cause of the appearance you dislike.
Your next step
Find out what could freshen up your eyes
Book a consultation with Dr Alex at SONÜ in Hale, Altrincham. He'll assess the hollows and shadows beneath your eyes, explain the improvement filler could make and help you decide whether it's the right treatment for you.
SONÜ Medical Aesthetics
34 Hale Road, Hale, Altrincham, WA14 2EX
Doctor-led treatment in a relaxed, private clinic
Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire