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Our London guide to tear trough filler

Published on: September 8, 2020

The eyes are a focal feature of the face and can show the world how we feel, our age and what our health is like. As the ageing process starts to progress, the orbital area can struggle to maintain a youthful appearance. This is due to bone loss in the ocular skeletal area as well as sagging skin and loss of substances within the dermis such as collagen, elastin and hyaluronic acid. For those of us who live busy lives in London, long hours and late nights and the effects of environmental pollution can also take their toll on the eyes, leaving us with heavy under eye bags and dark circles. Fortunately at The London Cosmetic Clinic in Harley Street, led by Dr Salinda Johnson, we offer dermal fillers for the tear trough area, to revitalise, restore and disguise dark circles and under eye bags.

What are dermal fillers?

Dermal fillers are gel-like substances containing hyaluronic acid (HA). HA is a sugar which is found naturally in the body, cushioning and moisturising areas such as the eyes, connective tissues, joints and the skin. As we age, the HA within our bodies starts to diminish, leaving our skin dry, dehydrated and wrinkled. Replacing the lost HA using a dermal filler helps to replenish lost moisture as well as lift and support the skin tissues, filling areas that have lost volume, such as the under eye creases underneath the eye bags. At The London Cosmetic Clinic, we only use clinically-proven and highly-effective dermal filler products which have a history of excellence and efficacy. A dermal filler for the tear trough needs to be fluid and less viscous than those used perhaps for re-building facial features such as the cheeks, nose, chin or jawline, as the skin of the under eye area is more transparent, thinner (around 1mm) and delicate. Replacing the lost volume in the crease under the lower eye bags not only helps to disguise the puffy appearance of the lower eyelid but also helps diminish dark circles.

Am I suitable for dermal fillers for the tear trough area?

You may be thinking that dermal fillers will be the sure-fire way to solve your under eye bag issues, but any non-surgical injectable treatment needs to be considered carefully and administered by a fully-qualified medical professional. At the London Cosmetic Clinic, we adhere to all CQC and GMC guidelines, so will always ask that you attend a pre-treatment consultation, prior to any treatment being advised. This meeting allows us to discuss the treatment and check your medical history, to ensure you are safe and well enough to have a tear trough treatment using dermal fillers. We will also aim to understand your individual concerns and desires for results. In knowing your goals, we can prescribe the best course of action, which will deliver the very best results. Once we are satisfied that dermal fillers will be a suitable and effective solution, we can then invite you back to the clinic for the treatment.

What happens during a dermal filler treatment at The London Cosmetic Clinic?

After completing some standard consultation and consent forms, your practitioner will ask you to relax on one of our treatment couches. A small amount of topical anaesthetic may be applied to the area to be treated so that you are fully-comfortable throughout the procedure. Once the anaesthetic cream has taken effect, the doctor will insert a cannula (a blunt ended needle, better suited to procedures such as these, so as to prevent bruising or skin trauma) to glide under your skin to the tear trough area. Once the cannula is in place, the doctor will administer small amounts of the dermal filler in to the areas of concern. This should not take more than 10 to 15 minutes. Once injected, your practitioner may very gently massage the product so that it sits naturally within the treatment area. Once both under eyes have been treated, you will be able to go home or return to your daily activities, as long as you adhere to the aftercare advice that the doctor offers you.


When will I see results?

You will be able to see the results straight away, as the dermal filler will sit beneath the upper layers of the skin, so as to lift any creases and folds. Over the weeks that follow however, the HA within the dermal filler will take on water and plump and moisturise the skin further, leading to prolonged improvement of the under eye area.

How long do the results last from a dermal filler tear trough treatment?

The longevity of your results can vary. If you take care of your skin and your general health, stay out of the sun and protect your skin from those London pollutants, you can expect results to last up to 18 months.. We will give you some advice on how to take care of yourself, following your tear trough dermal filler treatment, so that you can get the very most out of your superb results for as long as possible.

Is there any downtime?

In some cases, a little bruising may be experienced, following a tear trough treatment using dermal fillers. This is quite normal however and can be minimised with the use of arnica beforehand as well as ice packs, afterwards. A little tenderness around the injection sites is also very common and will subside in a few hours. Taking care not to rub your skin and avoiding hot saunas, steam rooms and strong UV light will further aid your recovery and help with the results.

Nowadays, under eye bags rarely require surgical intervention and at The London Cosmetic Clinic, Harley Street we can minimise the appearance of those tell-tale signs of fatigue and ageing with a fast and effective treatment that many of our London patients now wouldn’t be without!

For more information on tear trough treatments using dermal fillers in London, contact our team to book your no obligation consultation.


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