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Curious what a treatment at VIVA looks like? Watch our treatment demonstration below with the full treatment process with before and afters.
Dr Rupert Critchley MD · Founder, VIVA Skin Clinics · JCCP member
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 treats the cause: the hollow beneath the eye that casts the shadow in the first place.
London has hundreds of clinics offering under-eye filler, and quality varies widely. The under-eye is one of the most delicate areas of the face to treat, so choosing the right clinic matters more here than almost anywhere else. At VIVA Skin Clinics we’ve been performing tear trough filler in London for over 12 years, at our clinics in Chelsea and Fitzrovia.
Tear trough filler places a small amount of soft hyaluronic acid filler into the hollow beneath the eye. This lifts the depression, so it no longer casts the shadow that reads as a dark circle. It’s suited to:
Results show immediately, settle at two to four weeks, and generally last 9–18 months For full details on how the treatment works, read our tear trough filler treatment guide.
When comparing clinics, look for:
These before-and-after photos show real VIVA patients treated at our London clinics. Results vary from person to person, and your practitioner will talk you through what’s realistic at your consultation.
Tear trough filler in London typically costs between £175 and £900 per ml. A very low price can mean an inexperienced practitioner or a lower-quality product, and in the under-eye that’s a real risk. At VIVA, tear trough filler starts from £399 per ml, with payment plans available. See our full price list.
Every new patient receives a free one-to-one consultation before booking. If tear trough filler isn’t the right answer for your concern, we’ll tell you and discuss what would work better.
Treatment is carried out only by our medically qualified doctors and nurses. We numb the area, use a cannula technique, place small volumes conservatively, and keep hyaluronidase on site alongside a documented complications protocol.
You can return to work straight afterwards. Some swelling or bruising in the first few days is normal, so if you have an event coming up, allow two to three weeks.
Chelsea – 558 Kings Road, SW6
Nearest station is Fulham Broadway with a short 10 minute walk.
Fitzrovia – 18 Cleveland Street, W1T 4HZ
Nearest station is Goodge Street London
Both clinics are open Tuesday to Friday 10am–7pm and Saturday 10am–4pm. Outside London, we also offer tear trough filler in Tunbridge Wells, Kent.
Every treatment at VIVA is carried out by qualified nurses and doctors, so you’re in safe, experienced hands from consultation to aftercare.
Consultations are always free, giving you the chance to talk through your goals, ask questions and get an honest recommendation before you commit. Payment plans are also available across our treatments with Clearpay and Klarna.
You’ll find us at three clinics, with a fourth opening in Surrey this November:
Download the VIVA app to join VIVA CLUB and get 10% off all treatments, plus easy booking and appointment management.
We offer new client bookings and exciting offers monthly, so book soon to secure your appointment. Our consulations are free and we offer flexible finance.
Book online here or through the VIVA app. For any questions, call us on 02037 332199 (Mon–Fri 10am–7pm, Sat 10am–4pm).
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 two convenient locations in London and one in Kent located in beautiful Tunbridge Wells. Click below to find your nearest VIVA!
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