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Tear trough filler under-eye treatment at Montrose London Belgravia
face Treatment

Tear Trough Fillers

Tear trough fillers are a minimally invasive, non-surgical treatment designed to restore volume beneath the eyes and reduce the appearance of shadows and hollowness using hyaluronic acid.

This page has been reviewed by:

Position

Co-Founder Consultant Plastic and Reconstructive Surgeon

Date of review

12th March 2024

Tear trough filler under-eye treatment at Montrose London Belgravia

An Overview

Objective

To rejuvenate and refresh the under-eye area by reducing dark circles, hollows, and tired-looking eyes, and to improve the appearance of under-eye bags and dark circles.

Time

30-45 minutes

Areas

Under-eye (tear trough)

Recovery

Minimal downtime - mild swelling or bruising may last 1-3 days

Frequency

Typically once every 12-18 months, depending on product and individual response

Price

From £650

More about this treatment

As we age, the delicate skin under and around the eyes can lose elasticity and volume, leading to dark circles, hollows, and a tired appearance. Because the area around the eyes is especially delicate, expert intervention is crucial for safe and effective results. Tear trough fillers work by carefully placing small amounts of filler beneath the skin to smooth and lift the under-eye area.

At Montrose London, our specialist plastic surgeons use premium fillers and advanced microcannula techniques to ensure a natural, balanced result that blends seamlessly with your facial contours.

Causes and Concerns

Bags under your eyes are a common concern that can affect your confidence and the overall appearance of your face. Many people in London and beyond find themselves wondering how to get rid of bags under their eyes, especially as they notice changes with age. The delicate skin around your eyes is particularly vulnerable to the effects of time, as collagen production slows and the tissues weaken, leading to hollowness, swelling, and dark circles.

There are several factors that can lead to the development of eye bags. Age is a primary cause, as the skin loses elasticity and fat shifts, creating a puffy or tired look. Genetics also play a significant role – if your parents had eye bags, you may be more likely to develop them as well. In addition, lifestyle habits such as lack of sleep, dehydration, and eating salty foods can cause fluid retention and make bags under your eyes more noticeable. Allergens, including hay fever, can trigger swelling and irritation, while medical conditions like thyroid disorders or periorbital hyperpigmentation may also contribute to persistent dark circles and puffiness.

For those seeking improvement, dermal fillers are a popular non-surgical option for eye bag removal. Fillers can help fill in hollowness and reduce the appearance of dark circles, offering a refreshed and youthful look. In more severe cases, surgical treatments may be considered, but these come with higher risks and longer recovery times.

What Results Are Typically Achieved for Hollowness

The benefits of tear trough fillers include reducing under-eye bags, improving the overall appearance of the under-eye area, and achieving a more refreshed look. Results can vary from person to person, but common benefits are:

  • Reduced appearance of dark circles and hollows
  • Smoother transition between the lower eyelid and cheek
  • Brighter, more youthful eyes
  • Immediate improvement, with optimal results after 1-2 weeks

Results typically last 12-18 months, depending on lifestyle and skin type.

Preparing for your treatment

Prior to your visit to Montrose

Avoid alcohol, aspirin, or anti-inflammatory medications for 24 hours prior to treatment to minimise bruising, if advised by your doctor.

Arrive with clean, makeup-free skin.

On arrival at Montrose

You'll be welcomed by our team and given time to discuss your goals and any concerns before the procedure.

During your treatment

Your practitioner may apply a topical numbing cream to ensure comfort, then administer the filler using precise, minimally invasive techniques.

Post Treatment Advice

  • Avoid strenuous exercise, alcohol, and extreme heat (saunas, steam rooms) for 24 hours.
  • Use a cool compress if mild swelling occurs. For mild cases of under-eye bags, cold compresses and caffeine creams are recommended, while more moderate cases may require professional treatments such as fillers, lasers, or peels.
  • Do not massage or apply pressure to the treated area.
  • Sleep on your back for the first night to avoid displacement of the filler.
  • You may return to normal activities immediately after treatment, though mild bruising or swelling can last for a few days. Following all post-treatment advice helps minimise the risk of complications.

Questions you may have

Results typically last 12-18 months depending on your metabolism and lifestyle. Factors such as skin type, age, sun exposure, and overall health can also influence the longevity of the filler. Maintaining a healthy lifestyle and protecting your skin from excessive sun exposure can help extend the duration of results.

Most patients experience minimal discomfort thanks to numbing cream and the use of fine cannulas. The procedure is generally well-tolerated, with only slight pressure or mild pinching sensations during the injection. Any discomfort usually subsides quickly after the treatment.

Yes – when performed by qualified practitioners such as our plastic surgeons at Montrose London. Hyaluronic acid fillers are biocompatible and reversible. The use of advanced techniques and premium products ensures safety and natural-looking results, minimising the risk of injecting into a blood vessel. It is important to have the procedure done by experienced professionals to minimise risks such as bruising, swelling, or unevenness. Tear trough fillers also offer a lower risk profile compared to surgical treatments for under eye bags.

Results are visible immediately, with full effects after minor swelling settles within 1-2 weeks. Some patients may notice slight bruising or puffiness initially, but these typically resolve quickly. The gradual settling of the filler allows the under-eye area to appear smoother and more youthful over time.

What to expect

  • A detailed in-person consultation with a Plastic Surgeon at Montrose London to assess your under-eye concerns.
  • A bespoke treatment plan tailored to your facial anatomy and desired results.
  • A follow-up appointment if required, to review and refine results.
  • During your consultation, you will have the opportunity to learn about all available treatment options for under-eye bags and discuss which approach best suits your needs.

Practitioners at Montrose London

Georgina Williams Montrose London

Dr Georgina Williams

Co-Founder & Consultant Plastic and Reconstructive Surgeon
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Jonathan Dunne Montrose London

Dr Jonathan Dunne

Co-Founder, Medical Director & Consultant Plastic and Reconstructive Surgeon
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Shaimaa Jamshidi Montrose London

Dr Shaimaa Jamshidi

Co-Founder Plastic and Reconstructive Surgeon
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Lydia Loannidi Montrose London

Dr Lydia Loannidi

Plastic and Reconstructive Surgeon
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Lizzie Wilson Montrose

Dr Elizabeth Wilson

Plastic and Reconstructive Surgeon
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Anita Jatan Montrose London

Dr Anita Jatan

Consultant Plastic and Reconstructive Surgeon
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Jonathan Kentley Montrose London

Dr Jonathan Kentley

Consultant Dermatologist
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Sophia Opel Montrose London

Dr Sophia Opel

Consultant Plastic and Reconstructive Surgeon
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