
Everything You Need to Know About Treating Under-Eye Hollows Safely and Naturally
Under-eye hollows, shadows, and tired-looking eyes are some of the most common concerns among patients seeking facial rejuvenation. If you’re looking for a non-surgical solution to brighten and refresh the under-eye area, tear trough filler-also called under-eye filler or tear trough correction -offers an effective way to restore lost volume and achieve a more youthful appearance. At Dr Paul Elgey Clinic London, this treatment is carried out with advanced techniques and a patient-centred approach to ensure natural and long-lasting results.
For a full overview of the treatment itself, you can explore the dedicated treatment page: Tear Trough Filler
What Is Tear Trough Filler
Tear trough filler is a minimally invasive procedure that uses hyaluronic acid dermal filler to smooth hollowing beneath the eyes and reduce the shadowed appearance that contributes to tiredness. As one of the most delicate areas of the face, the tear trough requires an experienced injector who understands the complex anatomy of the lower eyelid.
Hyaluronic acid fillers, which are also used in several other rejuvenating treatments offered at the clinic, can be explored in more detail here: Dermal Fillers.
How Tear Trough Filler Works
As we age, volume loss in the mid-face can create a deeper groove beneath the eyes. Tear trough filler works by replacing this lost volume, lifting the area, and creating a smoother transition from the lower eyelid to the cheek.
Your treatment typically involves:
- A comprehensive consultation to assess your suitability
- Precise injection of hyaluronic acid filler using a cannula or fine needle
- Immediate improvement with minimal downtime
For patients also experiencing volume loss in the mid-face or seeking overall facial balance, complementary procedures such as cheek enhancement or full-face rejuvenation may be recommended. You can learn more here: Cheek Fillers
Key Benefits of Tear Trough Filler
Tear trough filler offers several unique advantages, including:
- A brighter, more refreshed appearance: By reducing shadows and hollows, the eyes appear more awake and youthful.
- Subtle, natural-looking volume: When expertly placed, the filler integrates smoothly with your natural tissue.
- Non-surgical with minimal downtime: Most patients return to normal activities straight away, experiencing only mild swelling that settles quickly.
- Immediate results: The under-eye area appears smoother and more hydrated right after treatment.
- Reversible: If adjustments are needed, hyaluronic acid fillers can be safely dissolved.
What Tear Trough Filler Can Treat
This treatment is ideal for:
- Under-eye hollows caused by volume loss
- Shadows and dark circles related to anatomical depth
- A tired or sunken appearance
- Fine lines beneath the eyes
- Mild under-eye bags
However, patients with significant puffiness or severe skin laxity may be better suited to alternative treatments, which can be discussed during consultation.
For patients combining under-eye filler with other facial aesthetic enhancements, the clinic also provides: Anti-Wrinkle Treatments
Why Choose Dr Paul Elgey?
The under-eye region is one of the most advanced areas to treat with dermal fillers. Precision, anatomical understanding, and artistic judgement are essential to achieving a natural result.
At Dr Paul Elgey’s practice, patients benefit from:
- A tailored, individual approach
- High-quality, medical-grade hyaluronic acid fillers
- A focus on safety and gentle techniques
- A clinician experienced in advanced facial aesthetics
- Natural results that enhance, rather than change, your features

What to Expect During Your Appointment
- Consultation: Your journey begins with an in-depth assessment of the tear trough area, facial proportions, and skin quality. This ensures that filler is the most appropriate option and allows your practitioner to design a bespoke treatment plan.
- Treatment: The area is cleansed, and a mild numbing agent may be applied. Using controlled, precise injections, the filler is placed to restore volume and smooth the under-eye contour.
- Aftercare: Most patients can resume their day immediately. You may experience mild swelling or tenderness, which settles within a couple of days.
Who is a Good Candidate?
Ideal candidates for tear trough filler include individuals who:
- Are concerned about hollows or shadows under the eyes
- Want a non-surgical solution to looking tired
- Have good skin quality under the eyes
- Are seeking subtle, natural-looking results
- Prefer minimal downtime
Your suitability will be determined during consultation, where alternative treatments may be recommended if needed.
How Long Do Results Last?
Results typically last 12 to 18 months, depending on your anatomy, lifestyle, and the type of filler used. Because the tear trough area experiences little movement, filler often lasts longer here than in other parts of the face.
If you ever wish to reverse or refine your results, the clinic offers safe and effective dissolving treatments: Dermal Filler Dissolving
Pricing for Tear Trough Filler in London
A clear breakdown of treatment pricing can be found on our pricing page. Costs can vary depending on the amount of filler required and whether additional treatments-such as cheek filler or anti-wrinkle injections-are recommended to enhance results.
How Tear Trough Filler Works with Other Procedures
Many patients choose to combine tear trough filler with other aesthetic treatments for balanced, harmonious rejuvenation. Popular options include:
- Anti-wrinkle injections for smoothing fine lines
- Cheek enhancement to support the under-eye area
- Lip enhancement for facial proportion
Final Thoughts
Tear trough filler is one of the most effective non-surgical treatments for restoring brightness and youthfulness to the under-eye area. When performed by an experienced practitioner, it offers immediate, natural-looking results with minimal downtime.
At Dr Paul Elgey Clinic London, treatments are carried out with precision, safety, and a commitment to subtle, natural aesthetic outcomes. Whether you want to reduce shadows, smooth hollows, or simply look more refreshed, tear trough filler may be the perfect solution.
Ready to rejuvenate your under-eyes? Book your appointment today.



