Tear Trough Treatment
Tear Trough & Under-Eye Filler Consultation Guide
The under-eye is a risk-sensitive filler area and many concerns are not caused by a volume deficit. This guide explains why an individual assessment, realistic expectations and the option to decline treatment matter.
Read this first. Under-eye filler is not suitable for every hollow, shadow or dark circle and may worsen some concerns. Dr Niru may decline treatment or recommend another professional assessment after examining the area.
Are tear trough filler and under-eye filler the same?
The terms are often used for filler assessment around the lower-eyelid and cheek junction. They do not diagnose the cause of a hollow, shadow or dark circle. A visible groove may involve volume, while pigmentation, visible vessels, puffiness or skin laxity may not improve by adding filler.
A useful consultation should first establish what is creating the appearance, whether filler is a reasonable option, the material risks and alternatives, and the complete written plan. Before-and-after examples cannot predict an individual result, and early swelling is not a final outcome.
Duration
Confirmed before booking
Results
Outcome and duration vary
Recovery
Swelling may last longer than expected
Possible causes of under-eye darkness
1. Volume deficit (the “tear trough” hollow)
A genuine groove between the lower eyelid and cheekbone. Light hits the cheek but not the hollow, casting a shadow that looks like a dark circle.
An assessment may consider whether volume is a relevant factor.
2. Pigmentation (melanin)
Brown discolouration of the skin itself. Common in patients with darker skin tones, or after years of sun exposure or eczema.
Pigmentation may need a different skincare or medical assessment.
3. Vascular show-through
Thin under-eye skin showing the blue/purple of underlying blood vessels. Common in pale skin or with age as skin thins.
An injectable is not automatically appropriate for thin skin or visible vessels.
4. Eye-bag puffiness (fat herniation)
Lower-eyelid fat protruding forward, creating bulge above the tear trough hollow. Filling the hollow can make the puffy bag look worse.
A suitable surgical or ophthalmic opinion may be more appropriate.
Tear trough filler before and after timeline
- 1
Day 0 — immediately after
A contour change, swelling or bruising may be visible. The immediate appearance is not a reliable final result.
- 2
Early recovery
Swelling or bruising may persist or develop. Follow the individual aftercare supplied and use the urgent route for warning signs.
- 3
Around week 2 — early review point
Standardised photographs may help review the change after early swelling has reduced, although some effects take longer to settle.
- 4
Week 4 — review appointment
Review the result, side effects and whether the original goal was met. More filler is not automatically required.
- 5
Later reassessment
Filler may persist for an unpredictable period. Any later treatment should follow a fresh assessment rather than an automatic top-up.
Note on before & after photos: Real under-eye filler before/after photos from our clinic will be published once we have full written patient consent. Until then, we will not show stock images or competitor photos.
FAQ
What is tear trough / under eye filler?+
It is hyaluronic acid filler placed in the under-eye or lid-cheek area for a selected volume concern. This is a risk-sensitive area and an in-person assessment is needed before deciding whether filler is appropriate.
Will under eye filler get rid of dark circles?+
Not reliably. Under-eye darkness can involve shadowing, pigmentation, skin thickness, vessels, puffiness or several factors. Filler may not help and can worsen the appearance in an unsuitable patient.
Who is NOT a good candidate for tear trough filler?+
Puffiness, very thin or lax skin, pigmentation and some anatomical or health factors may make filler unsuitable or increase risk. This page cannot determine candidacy; Dr Niru may decline treatment or recommend another professional opinion.
How long does tear trough filler last?+
Duration is unpredictable and filler can persist for longer than expected in this area. Product, placement and individual response matter, so a specific duration should not be guaranteed.
What can go wrong?+
Risks include lumps, asymmetry, bluish discolouration, prolonged swelling, infection, dissatisfaction and rare vascular complications that can threaten skin or vision. Training can reduce but never remove risk, and material risks and emergency instructions must be discussed before consent.
How much does under eye filler cost?+
The Azim Clinic's launch price has not yet been approved. Confirmed public prices for non-prescription services will be published before bookings open, with the product, amount, inclusions and individual total confirmed before treatment.
Is the procedure painful?+
Comfort varies. The product and available comfort measures will be discussed with relevant allergies and risks before treatment; not every product has the same ingredients.
What is the recovery like?+
Swelling, tenderness or bruising can occur and may last longer than expected. Delayed swelling can also occur. Treatment-specific aftercare and urgent warning signs will be explained before consent.
Honest tear trough assessment
Join the priority list for an individual assessment with Dr Niru. Consultation length, suitable options and written pricing will be confirmed before you decide whether to book treatment.
Join August Priority List