Under eye filler · Nurse led

Tear trough filler
in Whitley Bay.

Watch the 1 minute videoFrom consultation to aftercare. No sound, words on screen.

Tear trough filler is a small amount of hyaluronic acid filler placed under the eye, in the hollow that runs from the inner corner of the eye down onto the cheek. It may help soften a shadowed, tired look when that hollow is the cause. It costs £375 at Refined Medical Aesthetics, our nurse led clinic on Double Row, Seaton Delaval, near Whitley Bay, NE25 0PP. I always assess you first, and filler under the eyes is not right for everyone.

Nurse led clinic. Careful, documented treatment.

Duration
45 mins
Price
£375
Deposit option
£112.50

Tear trough filler at a glance

Who it may suit
Adults with a hollow groove under the eyes that casts a shadow, with reasonably firm skin and little puffiness.
Who it may not suit
Puffy bags, fluid that comes and goes, swelling on the upper cheek, very thin or crepey skin, or dark colour in the skin itself. Filler can make puffiness look worse.
What happens
I check your eyes, skin and health first. If it suits you, I place a small amount of filler deep, close to the bone, usually with a fine blunt cannula through one point on the cheek. The visit takes 45 minutes.
Downtime
Swelling and bruising can happen. Under eye swelling can come and go for 2 to 3 weeks and is often more noticeable in the morning.
Price
£375. Pay in full online, where Klarna may be available at checkout, or pay a 30% deposit of £112.50 and the rest in clinic.

Results vary from person to person.

Video

Tear trough filler

A short video about tear trough filler under the eyes, from your assessment to aftercare. It has no sound. The words are written out below.

Some images in this video are AI generated for illustration. They are not clients. Results vary from person to person.

What the video says
  1. Tired, or just shadows?
  2. Where lid meets cheek With age the support under the eye thins. A groove forms, catches the light and can read as tired. the tear trough
  3. your first visit Hollow, puffy or pigment? Each needs something different. I check which you have, and I'll tell you if filler isn't right.
  4. Soft gel, tiny amounts A soft hyaluronic acid filler and a fine, blunt tipped cannula. Numbing cream goes on first.
  5. One small entry point It goes in on the cheek, well away from the eye, then slides under the hollow. Slowly.
  6. Support from below A groove where the lid meets the cheek Small amounts, placed deep The shadow may soften
  7. straight after A little puffy Under eye swelling can come and go for two to three weeks, often more in the morning. A bruise can happen.
  8. that night An extra pillow Sleep a little propped up for a few nights. No rubbing your eyes, no eye make up for a day, no alcohol or gym for two.
  9. Fresher, not filled Week two swelling settling Weeks two to four we review it together After that the settled result Results vary from person to person.
  10. Ask me about your under eyes Tear trough filler, £375 New to me? Your consultation is free. Seaton Delaval, near Whitley Bay. Book online or message me
The treatment

Small amounts,
placed carefully.

The tear trough is the groove where the lower eyelid meets the cheek. As we age, the fat and bone support here can thin, so the groove deepens and catches shadow. That can make you look tired even when you are not.

I use a soft hyaluronic acid filler and place very small amounts deep, close to the bone, so it supports the hollow without sitting under the thin surface skin. I usually use a fine blunt tipped cannula through a single point on the cheek, after numbing cream. I would always rather do too little and review than do too much.

Honest expectations

What it can,
and cannot, do.

Tear trough filler may soften a hollow and the shadow it casts. It will not remove puffy bags, fluid, dark colour in the skin or fine crepey lines, and in some people it can make puffiness look worse. Sometimes supporting the cheek below gives a better result than treating the hollow directly.

At your appointment I look at what is causing your under eye concern before anything is planned. If another treatment would suit you better, or you do not need anything, I will tell you. Results are not permanent and vary from person to person.

Other options

Not every tired eye
needs filler.

Under eye polynucleotides (£185 a session) may help thin, crepey skin quality around the eyes. Derma Eye (£80 a session) may help puffiness from fluid and tired looking skin. Cheek filler can sometimes support the area from below. We can talk through each of these at your assessment.

Your appointment

Assessed first.
Planned for you.

01
Assessment
I go through your medical history, look closely at your under eyes in good light and explain what I think is causing the shadow. We only go ahead if it suits you.
02
Treatment
After numbing cream, small amounts of filler are placed deep under the hollow, usually with a fine blunt cannula. The appointment lasts 45 minutes.
03
Aftercare
Use a cool compress for swelling, sleep with an extra pillow for the first few nights and avoid rubbing your eyes. Skip eye make up for 24 hours and alcohol, saunas and hard exercise for 48 hours. You get written aftercare, and I like to review how it has settled at 2 to 4 weeks.
Safety

The under eye is
a delicate area.

The skin under the eyes is thin and the area has important blood vessels, so tear trough filler needs a careful, conservative approach. Bruising, swelling and lumps can happen, and filler too close to the surface can show as a bluish tint. Very rarely, filler can affect blood flow. I keep emergency medication, including the enzyme that dissolves hyaluronic acid filler, in clinic, and you can call me straight away if anything worries you.

Common questions

Good to know.

How much is tear trough filler?
Tear trough filler is £375. You can pay in full online, where Klarna may be available at checkout, or pay a 30% deposit of £112.50 when you book and the rest in clinic. If you are new to Refined, your first 30 minute consultation is free.
Will it get rid of my dark circles?
Only if the shadow comes from a hollow under the eye. Dark colour in the skin itself, very thin skin and puffiness need a different approach, and filler can make puffiness look worse. I check which you have before anything is planned.
Am I suitable for tear trough filler?
It tends to suit adults with a hollow groove under the eyes and reasonably firm skin. It is usually not right for puffy bags, fluid that comes and goes, swelling on the upper cheek or very thin, crepey skin. I assess you on the day and I will tell you honestly if it is not the right treatment.
Does it hurt, and is there downtime?
I use numbing cream and usually a fine blunt cannula, so most people feel pressure rather than sharp pain. Swelling and bruising can happen. Under eye swelling can come and go for 2 to 3 weeks and is often more noticeable in the morning.
What are the risks?
Bruising, swelling, lumps and unevenness can happen. Filler placed under thin skin can sometimes show as a bluish tint or puffiness. Very rarely, filler can affect blood flow, which can damage skin or, extremely rarely, affect vision. This is why I assess carefully, place small amounts deep and keep emergency medication in clinic.
What are the alternatives?
Under eye polynucleotides may help thin, crepey skin quality. Derma Eye may help puffiness from fluid and tired looking skin. Sometimes cheek filler supports the area from below and is the better choice. We talk through every option at your assessment.
Can it be reversed?
Hyaluronic acid filler can be dissolved with an enzyme if it is clinically needed. Results are not permanent and how long they last varies from person to person.
Can I have it while pregnant or breastfeeding?
No. Refined does not provide filler during pregnancy or breastfeeding.
Ready?

Book tear trough filler.

£375, 45 minutes. Pay in full online, or pay a 30% deposit of £112.50 and the rest in clinic. I assess you on the day before anything is done. If you are new to Refined, your first 30 minute consultation is free.

Pay depositPay in fullPay with KlarnaFor Klarna, choose Pay by card at checkout, then select Klarna from the dropdown.Ask me first
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Last updated: 24 October 2026