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Tear Trough Filler

The eyes are one of the most vital features of the face and the first thing someone sees at first glance. As we age, bone mass, fat, collagen, elastin and hyaluronic acid are all depleted and this can lead to hollowing and sagging of the under-eye area.

When fat and bone mass is lost the eye sockets naturally increase in size and dark circles can appear.

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Treatment Summary

A course of dermal filler treatment for the tear trough area

Price from £500

Procedure time
30 mins
Recovery time
24 - 48 hours
Duration of results
10 - 12 months
Sessions required
1 - 2 sessions
Treatment areas
Under eyes
Discomfort level
Minimal

Tear Trough Filler at Dr MediSpa

When invasive surgery really isn’t the answer, a course of dermal filler treatment for the tear trough area could revitalise and restore your eyes for a more youthful, wide-awake appearance.

Dr. Somji is one of the surgeons who performs the highest number of tear trough treatments a year (more than a 1000 patients last year). He is a respected authority for this treatment and has published his unique technique in the Aesthetics Journal in 2017 (read it here)

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Frequently Asked Questions

What is tear trough treatment using dermal fillers?

Dermal fillers are applied via injection in to the under-eye area (tear trough). These substances contain hyaluronic acid (HA) which naturally occurs within the connective tissues, joints and the skin. As we age and HA depletes, replacing it with dermal fillers can not only have a significant effect on the tone, texture and hydration of the skin but can also plump out areas where volume has been lost, reducing the appearance of eye bags and dark circles.

This technique should only be performed by an advanced medical practitioner with expert and advanced knowledge of the facial anatomy. Dr. Munir Somji is one of the UK’s leading authorities in aesthetic medicine and has performed thousands of these treatments with superb results. His method is unique as it results in minimal swelling, bruising and virtually no downtime.

How long does tear trough treatment take?

Tear trough treatment using dermal fillers should take around 15 to 30 minutes but allow 30 to 45 minutes for the topical numbing cream to take its effect if it is needed. As most dermal fillers contain Lidocaine, an injectable anaesthetic, you may not need a topical numbing agent. However, if you are particularly nervous or sensitive, you may choose this option for your comfort.

Does tear trough treatment hurt?

This treatment should not be painful. You may experience some light tugging and pulling which may feel slightly strange, as the blunt ended needle (cannula) is used to glide under your skin and push through tissues (rather than cutting or piercing which can cause bruising) but this should not be uncomfortable.

Is there downtime?

As with any injectable treatment with dermal filler, every patient is unique. You might experience some light swelling and bruising following the procedure which may last up to 5 days but this is rare, most patients are back to normal activity within 48 hours. You may wish to take some arnica tablets a week or so before your treatment and use arnica or aloe-vera gel following the procedure to help with these symptoms. You will be advised not to rub or touch the area and to avoid excessive alcohol consumption, hot baths, steam rooms and saunas up to a week afterwards, to minimise any bruising.

How long will results last?

Everyone is unique in how they respond to the treatment and depending on your lifestyle, results can last anything up to 12 months. If you smoke, excessively exercise or are a frequent sun-goer using no SPF protection, you may find that you may need to return for another treatment sooner.

Dermal fillers for the tear trough area have proven and effective results in giving your eyes their renewed youth, vitality and that wide-awake look that others will envy without the need for invasive surgery and lengthy downtime.

How do I know I am suitable for tear trough treatment with dermal fillers?

Before dermal fillers for the tear troughs can be administered, Dr. Somji will request that you attend a no obligation consultation.

Dark circles can be caused by various lifestyle choices such as smoking, poor sleep, excessive alcohol consumption or a lack of skin hydration and symptoms can usually be treated with dermal fillers.

However, health issues such as anaemia may also be the cause of dark circles and this will need to be checked by your GP prior to treatment. Once Dr. Somji is certain that you will benefit from dermal filler treatment in the tear trough area, he will invite you back to the clinic for the procedure.

What happens during tear trough treatment?

The area to be treated will be cleansed thoroughly and you will receive either some topical numbing cream or a small amount of injectable anaesthetic. A micro-cannula will be inserted, usually in the cheek area and this will gently glide under your skin to the area under your eye.

The dermal filler will be very slowly injected and Dr. Somji may then use his finger to gently massage and shape the dermal filler in to place. Once he is satisfied of the result, you will be able to return to your daily activities, making sure that you follow any aftercare instructions that are given.

Reviews

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Debra Wilkinson profile picture
Debra Wilkinson
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I am halfway through my treatment programme but so far very happy with the results and service. I have made a big financial commitment but after initial consultations, feel well informed and believe my expectations have been managed appropriately. Everyone in the salon is very friendly and helpful and I feel comfortable and well looked after when I'm there. Ellie is very knowledgeable and thorough. Would highly recommend.
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Janan Shakir profile picture
Janan Shakir
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Absolutely love this clinic. Lucia is a star. Wouldn’t go anywhere else
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Suela Kordhaku profile picture
Suela Kordhaku
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The only place I trust with my face. I’m quite particular and have a medical background, so I don’t say that lightly. Everything is done properly, with care and precision, never rushed. Ellie is incredibly thorough and consistent, and Olaya has genuinely helped me get my confidence and my skin back. Professional, honest, and results-driven. I wouldn’t go anywhere else.
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Carina Bartle profile picture
Carina Bartle
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I have been seeing Dr Somji regularly and exclusively for 10 years (usually every 3/5 months) and have always trusted his expertise I can honestly say he is the best. His clinic team also are fantastic. Last week I had a fire and ice facial with Mariana, it left me glowing and I also had a nice skin care lesson from Mariana, she was very knowledgable and it is certainly a treatment I would book again. Thank you to all the team
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Annette Machon profile picture
Annette Machon
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I’ve always felt very comfortable visiting DrMediSpa. Dr Somji is extremely knowledgeable and professional and the staff are welcoming, friendly, kind and courteous. It’s always obvious that the clinic is a lovely working environment for the staff and would recommend the clinic 100%. I wouldn’t dream of going anywhere else
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Milan Shah profile picture
Milan Shah
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Great experience with Dr Munirs guidance, Dr Bhavik Shahs expertise and Claudia who performed the treatment for Dye IPL and Ipixel. The journey was carefully thought out and was a lot less painful than I thought. Thank you all at Dr Medispa!
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Maria Goodspeed profile picture
Maria Goodspeed
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I always enjoy visiting Dr MediSpa! The staff are incredibly friendly and welcoming, making every appointment a great experience. They take the time to understand my needs and always recommend the best treatments. I trust their expertise completely and always leave feeling refreshed and confident. Highly recommend!
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Accounting and Tax Academy by Tony D profile picture
Accounting and Tax Academy by Tony D
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Fantastic :-) I visited Dr Somji's mid 2025, and through a robust, transparent and consultative process, received treatment for my alopecia. After approximately 5 months from my first round of treatment, there are visible signs of my hair growing back A big shout out to Amz Dhanjal at the front desk for co-ordinating (and buying me a cup of tea from Gails)
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LEILY BANAN profile picture
LEILY BANAN
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I see Dr somji and Elli today. I loveee Somji and his lovey wife Henal I've been coming to the clinic for 6-7 years now and super happy with every visit and results. My sister comes here too and alway so happy. I'm in the industry myself and wouldn't go anywhere else highly recommend
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Emily profile picture
Emily
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I am very impressed with this Clinic. I am so happy with my Lip filler treatments from the very talented and artistic injector Dr Somji, who provided me with NATURAL results! He is very thorough, and won’t do any treatments he doesn’t think are necessary, he actually persuaded me to have less! During the consultation I was educated on all the risks, pros and cons, and measured my facial proportions to work out exactly what was best to suit my face naturally. His theory is ‘less is more’ and I completely agree! I went in thinking I needed jawline filler, lip filler, cheek filler and Botox which is what I’ve been told by other places, being ‘sold too’, in fact all I needed was a touch of lip and chin filler to balance my symmetry and this was absolutely perfect! He’s a master at the Cannula method, I felt minimal discomfort, had 0 bruising because the tip is blunt and my anxiety of injectables is now much less as I now know this is the safest method. I couldn’t recommend Dr Somji any more, professional, patient, understanding, safe and a master Injector! The Drs assistant Elli was very sweet too making sure I felt comfortable through out, embarrassingly held my hand to calm my nerves which I might add really helped! 5 stars!!!!

Results

*Disclaimer
(Patient results may vary. Before and After results show clients that have had multiple sessions of each treatment, and combination treatments).

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Why choose Dr Medispa

24/7 Doctor care after your treatment
Appointments to suit you including evenings and weekends
Registered with the Care Quality Commission (CQC)
Full member of the British College of Aesthetic Medicine (BCAM)
Team of highly-qualified doctors
Range of payment options available

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