As seen on






Curious what a treatment at VIVA looks like? Watch our treatment demonstration below with the full treatment process with before and afters.
Some people look tired no matter how much sleep they get. Concealer settles into the crease, photographs exaggerate the shadow, and eye creams make no difference. Tear trough filler is a non-surgical treatment that addresses the cause: the hollow beneath the eye that casts the shadow in the first place.
At VIVA Skin Clinics we’ve been performing tear trough filler in London for over 12 years. Below, we explain what tear trough filler is, how tear trough filler works, how long results last, the concerns it treats, and what a treatment with us involves.
Our tear trough fillers are aimed at restoring and brightening the eye area and helping turn back time giving a more wide awake appearance and erasing dark circles. Tear trough filler is a dermal filler treatment that helps restore the lost volume under the eye which helps improve the sunken appearance and lighten the dark under eye circles. By injecting dermal fillers into the tear trough we can address several patient concerns with minimal downtime and no need for surgery.
The tear trough is the hollow that runs from the side of the nose, curving beneath the eye and above the upper cheekbone creating a visible ‘dip’ in the face under the eyes. It sits directly under the eye, in the same area where eye bags, fine lines and wrinkles tend to appear. The tissue here is very thin and delicate, which makes it one of the first areas of the face to show signs of ageing.
Tear troughs develop as we age and lose fat in the mid-cheek and under-eye area, leaving the tear trough looking sunken and hollow. The result is a tired, older and less lifted appearance. For some people, tear troughs are simply genetic and visible from a young age. In either case the concern often worsens over time, as the skin beneath the eye thins and the blood vessels underneath become more visible through it – one of the reasons the area can look dark as well as hollow.
Tear trough filler works by placing a soft dermal filler into the hollow that curves beneath the eye in a half-moon shape above the cheek. The filler replaces volume lost from this area over time, lifting the depression so the skin sits flatter against the cheek. As the hollow smooths out, it no longer casts the shadow that reads as a dark circle — which is why the area looks brighter as well as fuller.
Tear trough filler is frequently combined with cheek filler, which lifts and supports the mid-face and gives the under-eye area a stable foundation to sit on. Treating both together often produces a more natural, balanced result than treating the under-eye alone.
It’s a well-suited treatment for anyone concerned with under-eye shadowing and dark circles, a persistently tired appearance, or volume loss through the cheeks.
Are you wondering what the best undereye filler prices are in London? The price for tear trough filler in London ranges from £900 per ml to £175 per ml. We always recommend searching for reputable clinics with high quality before and afters, videos showcasing their work and reading reviews. At VIVA our tear trough filler starts at £375 per ml.
At Viva Skin Clinics, we offer the best and effective solutions to address these common concerns. Our tear trough fillers provide an exceptional treatment option for replenishing hollowing in the tear troughs and concealing eye bags when accompanied by a hollow tear trough. We are the best in treating high risk areas such as the tear trough with our expert cosmetic doctors and nurses with 20 combined years of cosmetic injections.
Choose between our experienced nurse practitioners and doctors. All treatments include a consultation and aftercare.
While your dedicated practitioner will always be there to answer every last one of your questions in person, this section is here to give you a bit of a head start on some of our most common queries.
As we age our under eye area may become deeper and more shadowed giving the appearance of dark circles and a tired looking appearance. At the same time, our elastin and collagen production slows down causing our skin to thin. In areas such as the under eyes, the skin is already thin- with our skin thinning in this area more of the blood supply is exposed casuing a purple hue under the eye.
With age and thinning skin patients may also notice more wrinkles appear around the tear trough areas, making the face look more aged.
Most patients find tear trough filler treatment relatively painless. As eyes are a very sensitive area to treat therefore you may think treatment in this area will be painful. Premium branded dermal fillers contain anaesthetic to help ease any discomfort. In addition, we use a topical anaesthetic to further aid this procedure should you be particularly sensitive.
Most patients find this treatment to be comfortable and without pain. We use a cannula for all tear trough treatments at VIVA Skin Clinics to ensure maximum patient comfort.
For the most part tear trough filler is safe, if it is administered by a professional medical injector. The tear trough area is a high risk area due to the amount of blood vessels surrounding it, therefore you should ensure you are treated by a highly qualified nurse or doctor to avoid vascular occulsion.
Any risks will be discussed during your tear trough filler consultation. We only use the most effective and safest FDA approved products at VIVA Skin Clinics
The results are immediate with the treament time of only 20 minutes. While the initial changes are noticeable right away, the complete result will reveal itself over the next few weeks as the fillers harmonize with the surrounding tissue for a natural and visable enhancement.
Tear Trough filler lasts from 9-12 months. Most FDA-approved dermal fillers tend to fall within the 6 to 18-month range, however, the expected longevity of your fillers will also vary from person to person. The general expected longevity for tear trough filler is 6-12 months.
The exact longevity might change based on the volume of filler used, the precise areas being treated as well as the patient's metabolism and lifestyle. However, our injectors will be happy to discuss specifics at your consultation.
When treating the tear trough use the safest injection techniques including the use of a small blunt needle called a cannula when treating the tear troughs. This reduces downtime and discomfort and ensures patient safety leading to better results.
We take a full-face approach to tear trough filler as often dark circles are worsened by ageing signs, especially volume loss, so in your consultation we will advise on what's best for you to achieve the best outcome from your treatment.
We may recommend a combination of temple and cheek filler as well to lift the upper face to appear more youthful and less tired helping to soften the appearance of dark circles.
Actual patient results from our clinic. Every treatment is tailored for a natural, balanced enhancement.


Dr. Rupert
We have three clinics accross London and the South of England. For contact details and assistance with parking or locating our clinics please call our friendly team at 02037332199
558 Kings Road SW6 2DZ London
18 Cleveland Street W1T4HZ London
38 High Street Tunbridge Wells Kent TN1 1XF
We offer free consultations and the below serivces at all of our clinic locations.
We have two convenient locations in London and one in Kent located in beautiful Tunbridge Wells. Click below to find your nearest VIVA!
Get our special offers, see before and afters and learn more about what makes VIVA Skin clinics the Uk’s leading cosmetic clinic.