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What It Treats

Tear trough fillers target the hollow area under the eyes extending to the cheeks. This region often appears sunken or dark due to volume loss, genetics, ageing, or skin laxity. Tear trough fillers using soft hyaluronic acid restore lost volume, lighten dark circles, improve hydration, and rejuvenate the under-eye area.

Quick Overview

Treatment Time:
30 - 45 minutes
Results Visible:
Immediately, with opimal results in 10-14 days
Anaesthesia:
Downtime:
Minimal (some redness or swelling may occur)
Duration of Results:
6 to 18 months
Results

What It Treats

Tear trough fillers target the hollow area under the eyes extending to the cheeks. This region often appears sunken or dark due to volume loss, genetics, ageing, or skin laxity. Tear trough fillers using soft hyaluronic acid restore lost volume, lighten dark circles, improve hydration, and rejuvenate the under-eye area.

General Medical CouncilRoyal College of General PractitionersMedical ProtectionHamilton Fraser Cosmetic InsuranceCare Quality CommissionBritish College of Aesthetic Medicine
General Medical CouncilRoyal College of General PractitionersMedical ProtectionHamilton Fraser Cosmetic InsuranceCare Quality CommissionBritish College of Aesthetic Medicine

At Harley Street MD, we specialise in advanced tear trough correction using Dr. Chia Tan’s signature Triple Layer Technique, a bespoke procedure performed exclusively with a micro-cannula. We use only ultra-soft hyaluronic acid fillers, primarily Juvéderm® Volbella, to ensure a natural, smooth, and safe result.

Why Choose Harley Street MD? Expert-Led Care: All treatments performed by GMC-registered doctors CQC Registered: Ensures highest standards of safety and care Advanced Techniques: Specialised in MD Codes™ and Triple Layer Technique Trusted Reputation: Verified reviews and media features Premium Products: Only top-tier, approved fillers like Juvéderm® Volbella

Book an Appointment

Prices

A £150 deposit is required to secure a booked appointment. This deposit is redeemable against any treatment or service provided by the clinic. If you decided following the consultation to not proceed with any proceed or service, then the deposit is fully refundable.
Consultation
Up to 15 minutes
£150 (waved off if having treatment on the same day)
Dermal Filler
Per syringe
£450

More Information

Can I fly after filler?

Ideally wait 1 week due to potential swelling. Long-haul flights may exacerbate swelling. Follow-up recommended within 2 weeks.

Can I have treatment on the same day as the consultation?

Yes, if you’re suitable and comfortable proceeding.

Can fillers treat eye bags or pigmentation?

Yes, for mild eye bags and volume-related dark circles. However, pigmentation on the skin surface or loose skin may require alternative treatments like surgery or skincare.

Can fillers cause blindness?

Extremely rare. Out of 146 reported global cases, only 2 involved the tear trough. Safety measures, cannula use, and expert technique minimise risks.

Can beauticians perform this treatment?

No. Under-eye filler should only be performed by GMC-registered doctors in a CQC-registered clinic due to the complexity and potential risks.

How many syringes are needed?

Typically 1–2 syringes. Severe hollowness may require more. Each case is assessed individually.

How long does the result last?

Typically 6–18 months, depending on metabolism, lifestyle, and skin condition.

How long is recovery?

Minimal downtime. Redness and swelling resolve in a few days. Bruising, if any, subsides in 3–5 days.

Can the filler be dissolved?

Yes. HA fillers can be dissolved using hyaluronidase (e.g., Hyalase), especially useful in case of complications or patient preference.

Does it hurt?

Minor discomfort is possible, but numbing and lidocaine in the filler reduce pain significantly.

How long does it take?

30–45 minutes including numbing and preparation.

How should I prepare?

Avoid Vitamin E, Omega 3, aspirin, alcohol, and strenuous exercise pre-treatment. Eat and hydrate before the appointment. Disclose any treatments near the eyes within the past two weeks.

How do tear trough fillers work?

Soft hyaluronic acid fillers are injected into the under-eye area to restore volume, improve hydration, and reduce the appearance of shadows and hollows.

Do fillers stretch the skin?

No. HA fillers are anti-ageing and help improve skin quality. Properly administered fillers do not stretch or sag the skin.

What causes dark circles and eye bags?

Dark circles result from volume loss, ageing, collagen degradation, pigmentation, sun damage, dehydration, and genetics. Certain ethnicities and individuals with allergies or hormone imbalances may develop them earlier.

What about midface volume loss?

For holistic facial rejuvenation, midface lifting with MD Codes™ technique may be recommended. 4–6 syringes may be used.

What happens during treatment?

Local anaesthetic and numbing cream applied.Area marked and cleaned.Entry point created with needle, followed by filler injection using cannula.Gentle massage to achieve natural contour.

What if I become pregnant after filler?

No known harm to the baby. HA is naturally occurring and biodegradable.

What happens when filler wears off?

Gradual return to baseline. HA improves hydration and elasticity while present.

What is the Triple Layer Technique?

A specialised technique developed by Dr. Chia Tan that delivers filler into three tissue planes: sub-periosteal, sub-muscular, and epidermal. It supports structure, smooths wrinkles, and hydrates skin.

How soon will I see results?

Immediately, with full results in 10–14 days after swelling subsides and HA integrates with skin.

Who should avoid dermal fillers?

Pregnant or breastfeeding womenThose with hypersensitivity to HAThose with active infections or recent skin treatments

What is a micro-cannula and why is it better than a needle?

A blunt-tipped, flexible instrument that reduces bruising, swelling, and vascular injury risk. It allows more accurate filler placement and safer outcomes.

What is the best filler for tear troughs?

Hyaluronic acid fillers like Juvéderm® Volbella are ideal due to their soft consistency, safety profile, and reversibility.

Are dermal fillers permanent?

No. All legally approved fillers in the UK are biodegradable and will break down over time. Permanent fillers are banned due to safety risks.

What are dermal fillers?

Dermal fillers are pharmaceutical-grade gel injectables designed to restore volume, provide lift, smooth out wrinkles and enhance facial contours. Hyaluronic acid (HA) fillers are the safest and most popular. They are biodegradable, reversible, and hydrate the skin by retaining moisture. They are non-animal derived and integrate seamlessly with the skin.

Are dermal fillers safe?

HA fillers are safe when administered by experienced medical professionals. They are made in sterile lab environments, are vegan-friendly, and can be dissolved easily with hyaluronidase in case of overfilling or complications. This makes them a safer option compared to non-HA fillers.

Why choose Harley Street MD?

All treatments are performed by GMC-registered doctors only.

The clinic is accredited by JCCP and CPSA, and registered with the Care Quality Commission (CQC) for medical safety and patient care.

The CQC has rated Harley Street MD “Outstanding” in its inspections.

This ensures the highest level of safety, ethics, and professional care in non-surgical aesthetic medicine.

Why choose Dr Chia Tan?

With over 17 years of experience, Dr Tan is a BCAM full member and advanced injector, specialising in natural, proportionate results using advanced techniques.

UK-trained medical doctor, practising aesthetics since 2008

Certified Advanced Injector by Allergan and MD Codes™ expert

Member of BCAM, MRCS(Ed), ECAMS, MRCGP, FHEA

Featured on TV and in media as an expert in cosmetic medicine

What if I need a top-up?

In rare cases, a follow-up may be needed after 4–6 weeks, especially if your masseters are particularly large. This would be a repeat full treatment.

Do I need to pay for a top-up?

If a top-up is needed (after swelling has subsided), additional filler is charged at £450 per syringe, since new product is required.The follow-up appointment itself remains free of charge.