Understanding Tear Trough Filler

by admin | October 30, 2025

Tear trough filler is a subtle and precise treatment used to soften the under-eye hollow, reduce shadowing, and create a more refreshed, awake appearance.
However, results are not identical for everyone, and that is often where questions arise.

The outcome depends on several factors, including your natural anatomy, skin condition, the type of filler used, and the skill of the practitioner. Understanding these helps set realistic expectations and ensures you get the most natural-looking result.

1. Your Starting Anatomy

Your individual anatomy is the foundation for what this treatment can achieve.

Tear trough filler works best for mild to moderate volume loss in the under-eye groove.
If there is a smooth transition between the lower eyelid and mid-cheek, filler can blend that junction beautifully.

However, not everyone is a suitable candidate. In cases where there is:
• Significant under-eye bags (fat pad prolapse)
• Very thin or loose skin
• Advanced age-related volume loss without underlying support

Filler may not give the desired effect. Alternative or staged treatments may be recommended instead. A full consultation is essential to determine suitability.

2. Skin Quality

The skin under the eyes is naturally thin and delicate.
If the skin has become crepey or lacks firmness due to reduced collagen, the filler will behave differently compared to someone with thicker, more elastic skin.

The goal is not to fill the under-eye area heavily, but to softly smooth the transition between the tear trough and mid-cheek for a natural, rested finish.

Treatments that improve skin quality (like polynucleotides, under-eye skin boosters, or medical-grade skincare) may enhance results further.

3. Product Choice & Practitioner Expertise

Not all fillers are suitable for the tear trough area.
This region requires a specialised, low-density filler that integrates gently without attracting excess water.

At our clinic, we use Teosyal Redensity 2, currently the only hyaluronic acid filler formulated specifically for the tear trough. It is designed to:
• Minimise puffiness and swelling
• Integrate naturally into thin tissue
• Blend seamlessly for a soft, subtle result

Just as important as the product is the injector’s technique, the depth, placement, and volume used must be extremely precise. Tear trough filler is a millimetre-sensitive procedure.

4. How Your Body Responds

On average, tear trough filler lasts 12–18 months.

However, longevity varies from person to person due to:
• Metabolism
• Genetics
• Hydration and lifestyle
• Alcohol consumption

Everyone metabolises filler differently, this is completely normal.

5. Expectations and Realism

Tear trough filler is excellent for:
• Reducing shadowing and hollowness
• Restoring smoother contours
• Softening a tired appearance

However, filler does not address:
• Pigmentation (brown or purple discolouration)
• Puffiness caused by fat pads
• Lifestyle-related tiredness or swelling

For some clients, the best outcomes come from a combined approach, such as structural cheek support or skin-quality treatments alongside filler.

6. Aftercare and Follow-Up

Initial swelling or mild unevenness can occur and usually settles within 2–4 weeks.

A follow-up appointment allows us to review the result and refine if needed.
Following aftercare, such as avoiding heavy exercise, not massaging the area, and sleeping slightly elevated, supports optimal healing.

In Summary

Tear trough filler can provide beautifully natural results, but it works best when:
• You are an appropriate candidate
• A suitable product is used (like Teosyal Redensity 2)
• The treatment is performed with precise technique
• Expectations are aligned with what the treatment can achieve

A thorough consultation is the first step.

Book a Consultation

If you’re considering tear trough filler, we begin with a detailed assessment to ensure the treatment is right for you and to discuss your unique goals.

Or send a message to arrange your tear trough assessment 🤍

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