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The Best Tear Trough Fillers in Greenwich

We only feature the best tear trough filler practitioners near you who we have vetted to ensure that they’re medically qualified, trained and insured. Click on their profile to read their real patients' reviews and to see their before and after photos.

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At A Glance

Best Results

1 treatment

Best Results
Best Results

Best Results

1 treatment

Duration of Results

12 - 24 months

Duration of Results
Duration of Results

Duration of Results

12 - 24 months

Treatment recovery

3 - 4 hours

Treatment recovery
Treatment recovery

Treatment recovery

3 - 4 hours

Risks & complications

Medium

Risks & complications
Risks & complications

Risks & complications

Medium

Anaesthetic

Numbing cream or local anaesthetic

Anaesthetic
Anaesthetic

Anaesthetic

Numbing cream or local anaesthetic

Procedure time

30 - 60min

Procedure time
Procedure time

Procedure time

30 - 60min

Skin specialist

Medically qualified

Skin specialist
Skin specialist

Skin specialist

Medically qualified

Back to work

Same day

Back to work
Back to work

Back to work

Same day

Tear Trough Fillers Overview

The tear trough area is the space between the lower eyelids and the cheeks. As we age, the loss of subcutaneous fat, collagen and elastin leads to a thinning and hollowing out of this area, resulting in darkening and loose skin.

Tear trough fillers, also known as under eye filler, are an increasingly popular non-surgical treatment where strategically placed hyaluronic acid fillers replace lost volume, thus improving the undereye shadow and loose skin.

The skin beneath the eyes is very delicate and there are important nerves and arteries in that area, so it is imperative that you choose a suitably medically qualified and experienced practitioner to carry out your tear trough fillers.

There are over 60 brands of dermal filler available in the UK. Those commonly used are Restylane Lyft®, Juvéderm Voluma® Belotero® and Teosyal Redensity®. These are all hyaluronic acid-based fillers which will last 6-12+ months.

There are products available which can dissolve hyaluronic acid fillers, so the effects of these fillers are not only temporary, but they can be reversed, if necessary. The products to dissolve fillers are prescription medicines and must be performed by an expert.

Many dermal filler products are available with the addition of 0.3% lidocaine combined with the hyaluronic acid gel in the syringe. This provides instant relief from pain upon injection and removes the need for a separate nerve block or topical anaesthesia.

However, practitioners want you to feel as comfortable as possible, so you may be offered a topical numbing cream or a local anaesthetic, depending on the treatment and preference of the practitioner.

This Glowday Treatment Guide has been edited and medically verified by Andrew Rankin.

How do tear trough fillers work?

The leading dermal fillers used by most UK practitioners are hyaluronic acid-based products. Hyaluronic acid is a naturally occurring substance within the body, which makes adverse reactions to it unlikely.

When injected into the skin, filler plumps out wrinkles and lines, instantly filling scars and adding volume and shape where necessary.

Tear troughs are notoriously difficult to treat in a natural, subtle way. Filler is injected above the bone, but below the muscle, whilst steering clear of the complex network of arteries and veins in the area. It is imperative that you choose a medically qualified, experienced practitioner to treat you.

Ideally, your practitioner should also be able to prescribe medication - a necessity in the unlikely situation where you should need or want your dermal fillers dissolved.

What are tear trough fillers used to treat?

Hyaluronic acid-based fillers can be used on all adults.

Tear trough fillers can help address loss of volume, dark circles and crepey skin.

You may not be an ideal candidate if you suffer from:

  • Large (herniated) eye bags
  • Excessively loose skin (festoons)
  • Puffy/swollen eyes

How should I prepare for tear trough fillers?

In the week before the treatment, avoid taking aspirin, ibuprofen, vitamin E and fish oil supplements.

These may increase bleeding and bruising. You can take paracetamol.

What happens during a tear trough filler treatment?

Step One - Consultation and Consent

It is important to understand that, whilst dermal fillers are not prescription only medicines, the medication needed to dissolve fillers, hyaluronidase, is. Additionally, the anatomy of the face is complex, it is advisable the you only allow medically qualified practitioners carry out filler treatments.

Step Two - The Tear Trough Treatment

Your treatment will take around 30 - 60 minutes.

The first part of your treatment will be administering an anaesthetic to make your treatment as comfortable as possible.

Step Three - The Check-Up

It is good practice for your practitioner to offer a free check-up, two weeks after your treatment.

This allows them to check that the dose they administered was appropriate for the agreed outcome and that you are happy with your treatment.

Step Four - The Repeat Treatment

Depending on how quickly you metabolise the filler and which product you were treated with, you will require a repeat treatment 9-12 months after your initial treatment.

Your practitioner will advise regarding when you may require a repeat treatment.

What happens after a tear trough filler treatment?

After your treatment, you can go about your normal day. You will likely experience swelling, but results will be immediate. The best results will be visible 2-3 days after your treatment when the swelling has subsided.

Post-treatment advice may include:

  • iced water soaks or ice packs to help to reduce swelling;
  • the use of pain-killers such as paracetamol, if required for a few days after treatment;
  • arnica (a homeopathic remedy) cream or tablets are sometimes recommended a few days before and a few days after treatment as there is some evidence that this can reduce bruising.

Bruising and swelling should go down after a couple of days (oral arnica may help reduce any bruising), but if you continue to experience very painful swelling and bruising, or if any blistering occurs, you should contact your practitioner immediately.

Any visual disturbance should should be reported to your practitioner immediately. Similarly, if you experience any delayed reactions such as lumpy redness occurring any time after treatment, you should contact the person who treated you immediately.

What are the side effects and risks of tear trough fillers?

Depending on the area being injected, the type of filler and the pain relief method being used, clients may find this procedure relatively painless to uncomfortable. Treatments around the nose and lips are usually more painful than other areas but most clients find filler treatments bearable.

You must discuss pain management options with your practitioner and let them know if you are finding the procedure too uncomfortable.

The obvious, immediate and most common side effect is slight bleeding after the needle has been inserted into the skin. Other risks include bruising, tenderness, redness and swelling around the injection site. These signs may take 2-3 days to vanish completely.

Occasionally, a ‘bleb’ will occur. This is where the filler has been injected too superficially (close to the surface) and will need to be dissolved.

Rarely, allergic type reactions can occur after a filler treatment. These include prolonged redness, swelling, itching and/or hardness and bumps in the skin. Such signs may appear at some or all injection points. Sometimes, they can last several months or longer, but this is extremely unusual.

Another rare side effect is occlusions. This is where filler is accidentally injected into a blood vessel and creates a blockage. This presents as whitening of the skin, followed by the area turning greyish-purple. If left untreated, this can result in tissue loss in the affected area. There have been reports of this in lip and nose treatments.

One particular type of occlusion is an ocular occlusion. This is where a blood vessel supplying the eye gets blocked, resulting in partial or complete blindness.

If you exhibit ANY symptoms of occlusion, you need to seek the advice of your practitioner and/or visit accident and emergency immediately. You will need to be prescribed emergency treatment medicines, which is why it is important that you have access to a practitioner who is able to prescribe medicine.

As with any skin treatment, injections should be avoided in areas where the skin is swollen or where infections are present - e.g. active acne.

If you have a history of cold sores or fever blisters in the treated area, filler injections may cause an outbreak. In this case, your practitioner may recommend that you take a course of anti-viral medicine before your treatment to help reduce the likelihood.

If you have a known allergy to hyaluronic fillers or any of the ingredients in the filler product, you must inform your practitioner. An alternative treatment will need to be carried out.

Dermal fillers have not been tested on pregnant women. No medically qualified practitioner would carry out a filler treatment on a pregnant woman.

How much do tear trough fillers cost?

Costs vary depending mostly on the type of dermal filler, the area of the face to be filled, the degree of filling required and the expertise of the practitioner.

Generally, prices for dermal fillers are based upon the estimated number of syringes needed to obtain the required result. Most fillers come in 1ml syringes. Most clients require up to 0.5ml for each tear trough.

In addition, different filler brands such as Teosyal Redensity®, Restylane®, Perlane®, Radiesse® and Juvederm® differ in price depending on the clinic and/or practitioner.

Hence, overall prices may vary from £350 to over £500 per treatment session.

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