Tear Trough/Under eye can affect younger and older individuals and is characterised by a sunken appearance of the eye that results in the casting of a dark shadow over the lower eyelid, giving the patient a fatigued appearance in an otherwise well-rested person and is refractory to attempts at cosmetic concealment. The trough can become deeper, the circles darker, and often there may be a contributory flattening of the cheek in the older person. The upper and lower eyelids can lose elasticity and start to sag and fatty deposits under the lower eyelids can make this deformity worse.

Dr Bharat Patel uses advanced non-surgical techniques to correct tear trough taking into account the complete anatomy in this delicate area, a good improvement is possible in the younger and older patient.


Tear Trough Deformity is the hollowing of the under eye area that may present at any age, but often becomes worse with age. It is a result of changes in the skin, muscle or fat layer in relation to the peri-orbital rim. Anatomically it is a depression centred over the medial inferior orbital rim and bounded superiorly by the infraorbital fat protuberance. If the cause is due to ageing , the globe descends within the orbit and the infraorbital fat is displaced anteriorly. There may be hyperpigmentation, creating an illusion of greater depth of the trough.

Young or Older adult individuals are suitable of both genders. There are cases where correction may not be possible for example when there is excessive bulging of fat, though a detailed examination is undertaken to ensure that you are a good candidate A safe and aesthetically pleasing result using some of the most advanced dermal fillers is possible, with no bruising and no downtime using innovative techniques perfected by Dr Bharat Patel.

You are encouraged to book in a thorough consultation. A full examination will be undertaken, followed by a detailed treatment plan which takes into account your goals. The various parts of the tear trough and associated mid-face are analysed to determine where a loss of support has occurred and much focus to anatomical consideration is given. Procedures can be undertaken at the same visit as the consultation or on another day. Topical anaesthetic is applied to the skin and left to take effect for approximately 30 min. The regions to be treated are then precisely marked, followed by careful administration of the dermal filler. Gradual administration allows for the results to be continually checked and adapted ensuring the final result is perfect. Depending on the site, various administrative techniques are employed which are at the forefront of modern facial aesthetics

There will be a noticeable improvement immediately and most patients are delighted at this visit, however improvement in contour continues for about 2 weeks after. A review appointment is arranged to take post- procedure photos which are confidential. Should you require a touch up or wish to have further areas treated this can be undertaken at the review appointment.

Tear trough correction can be undertaken from £349. Depending on the underlying structure and aims, a greater amount of dermal filler may be needed to produce the desired result. This will be discussed with you before treatment at your consultation visit.