03/04/2026
Dermal filler is not my usual first-line approach when it comes to skin regeneration.
However, there are specific anatomical changes where it can be an appropriate and effective option.
The tear trough is one of those areas.
Over time, structural changes occur between the under-eye region and the upper cheek, often due to separation and descent of the supporting fat pads.
This can create a hollow or shadowed appearance which is not always related to skin quality alone.
In carefully selected individuals, small amounts of dermal filler can be used to support this area and soften the transition, helping to restore a more refreshed and youthful appearance.
I often explain this to my patients as being similar to the tectonic plates of the earth gradually moving apart — in some cases, a small amount of support with the correct dermal filler can help bring balance back to the area.
For safety and little to no bruising, I use a blunt-tip cannula technique in this region and take a conservative, considered approach. Filler is hydrophilic which means as the filler settles into its home, water is drawn to it causing the filler hyaluronic acid molecules to swell. So we always undertreat and review at 2 weeks. I use Teosyal Redensity II as this filler is licensed specifically for the under eye and is clinically proven not to cause tyndall effect; a bluish discolouration seen when dermal filler is placed too superficially under the skin, causing light to scatter through the product.
Tear trough filler is quite long lasting (12-18 months) when placed correctly.
As with all treatments, suitability is determined following full consultation and clinical assessment.
Appointments can be arranged via Skin&Spirit Aesthetics, Skincare, Hair, Beauty and Wellness Clinic
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Injectable and device-based treatments require face-to-face clinical assessment at the CQC-registered Skin&Spirit clinic in Clowne, Chesterfield.
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