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Another treatment that creates a more youthful appearance and brightens your face almost instantly, is tear trough filler. Tear troughs are the dark, hollow ridges that appear under the eyes, slanting away from the nose. These can sometimes join with other lines beneath the eyes, creating eye circles or forming part of eye bags. They can often appear worse when dehydrated or tired, and generally also deepen as we age. These lines are notoriously difficult to treat and have been seen by many practitioners as a big challenge in non-surgical aesthetics. 

Dr. Michael Aicken has been using hyaluronic acid gel (dermal filler) to subtly enhance patients’ features for over 16 years, teaching his own advanced tear trough technique to thousands of trainees from around the world. His preferred method is to use a needle, rather than a cannula, for accuracy.

Is Tear Trough filler right for me?

If you're noticing that your eyes look more tired than usual, even when you're well slept and well hydrated, then this treatment is a subtle way to give yourself a more refreshed appearance. Eye bags which are mild to moderate can also be improved with this treatment while severe under eye bags are best treated with surgery. Dr Mike will be able to advise whether eye trough filler is right for you.

How long does it last?


As with all fillers, this is a temporary treatment, although it is fairly long-lasting and can be easily topped up. It normally lasts between 9-12 months.

It's also worth noting that a Skin Booster such as Seventy Hyal or Sunekos 200 skin can be used to brighten this area too. Dr Mike can discuss this alternative or complimentary option with you during your consultation. 

Will it hurt?

The treatment involves 3-4 injections under each eye. Before this, the skin will be numbed using a strong anaesthetic cream so that the whole procedure is virtually pain-free. The filler itself also contains lidocaine which will optimise comfort levels throughout. Additionally, as Dr Mike has vast experience in injecting dermal filler, his injection technique will also limit discomfort. This treatment takes around 5-10 minutes to complete and the results are instant.

What volume to go for?


Although 1ml is the recommended dose by the manufacturer (Teoxane, Redensity II), more is sometimes given during a second procedure, best carried out at least one week after the initial treatment.

What will it cost?


Our Tear Trough filler at Astral Skin Clinic is £250 for 1ml. If needed, and returning within one month, a second ml can be added for an additional £225. Only around 25% of our clients return for a second ml - 1ml is usually enough.

What is the downtime?


As with all injections, it is possible that some slight swelling or bruising will occur for 2-3 days. We ask that you try to refrain from touching the treated area or applying cream or makeup directly after the procedure. That being said, as treatments go, there is very little downtime and results are instant. Makeup and creams can be applied after 12 hours.


Feel ready to book with us or have some more questions? Click the link below to contact us via WhatsApp or email. We can book you directly into a clinic appointment or arrange a complimentary telephone consultation with Dr Mike.

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