





Curious what a treatment at VIVA looks like? Watch our treatment demonstration below with the full treatment process with before and afters.
Tear trough filler is a non-surgical treatment that addresses volume beneath the eye so the area looks brighter. more rested and less tired.
We have been performing tear trough filler in London for over 12 years, across our London clinics in Chelsea and Fitzrovia. Treatment is carried out exclusively by our medically qualified doctors and nurses, and every new patient starts with a free consultation to establish whether filler is the right answer for their concern. Many patients that seek out tear trough filler consult for other areas such as temples and cheek filler for a more holistic result.
The tear trough is the hollow that curves from the side of the nose, beneath the eye and above the cheekbone. It marks the transition between the lower eyelid and the cheek, and the skin covering it is the thinnest anywhere on the face.
As we age, we lose fat from the mid-cheek and under-eye area, and the ligaments tethering the skin to the bone become more pronounced. The hollow deepens. For some people it is simply genetic and visible from their twenties. Regardless of the cause, the result is the same: a depression that catches shadow across the lower lid, which everyone reads as tiredness regardless of how well you have slept.
Tear trough filler places a soft hyaluronic acid gel into that hollow, replacing the volume lost over time. The injected filler physically lifts the depression so the skin sits flatter against the cheek reducing the depth of volume loss. With the surface smoothed, light falls across it evenly instead of collecting in the groove, so the shadow softens
The effect is that the under-eye looks fresher and better rested without looking treated. When done properly no one should be able to tell you have had injectables only a more refreshed and less tired appearance.
You will see a difference immediately, though the final result appears at two to four weeks once swelling resolves. Most patients keep their result for nine to twelve months. The under-eye moves very little compared with the mouth or lips, so filler tends to last longer here than elsewhere on the face.
The under-eye is one of the highest-risk areas of the face to inject, and we treat it accordingly.
Swelling, bruising and tenderness for a few days are normal. Less common effects include prolonged puffiness or the Tyndall effect, a faint bluish tinge from product placed too superficially, both of which can be corrected. Serious complications such as vascular occlusion are rare but possible.
All tear trough treatment at VIVA is performed by medically qualified doctors and nurses registered with the GMC or NMC. We keep hyaluronidase on site to dissolve hyaluronic acid filler if ever required, and every patient receives aftercare contact details.
We have to London flagship locations, one on Kings Road in Chelsea that services south London areas like Putney, Parsons Green and Fulham. Our more central location is located near Oxford Circus in Fitzrovia offering convenience for Oxford Circus, Soho, Camden and Marlyebone.
Chelsea: 558 King’s Road, SW6. Two storeys of clinical rooms on the King’s Road, convenient for South Kensington, Fulham, Battersea and Sloane Square.
Fitzrovia: 18 Cleveland Street, W1T. Five minutes from Tottenham Court Road, with the Elizabeth and Central lines, making it our easiest clinic to reach from across London.
We offer complimentary consultations for all procedures to ensure all questions are answered and you have confidence in moving foward with one of our practioners. We offer payment plans and medical team dedicated to helping you achieve your aesthetics goals. To book in a free consutlation for tear trough filler please call 02037332199 or book online by selecting book now.
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.
£375 at both our Chelsea and Fitzrovia clinics, covering the treatment, your consultation and a review appointment two to four weeks later. We do charge per syringe.
It depends what is causing them. Darkness from shadowing responds well, because filling the hollow removes the shadow. Darkness from pigment or visible blood vessels responds far less. We will identify which you have before treating.
Yes, and it is free for new patients. Filler does not suit every under-eye concern, and we would rather establish that before you book than treat you regardless.
Fitzrovia, at 18 Cleveland Street, is five minutes from Tottenham Court Road on the Elizabeth and Central lines. Chelsea, at 558 King's Road, suits patients in the south-west of the city. Price and treatment are identical.
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!
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