Tear Trough Treatment — Addressing Under-Eye Hollows Safely

Last updated: 5 March 2026

Under-eye hollows, medically known as tear troughs, are one of the most common aesthetic concerns that bring patients to our Harley Street clinic. This delicate area requires expert assessment and precise technique.

What Causes Tear Troughs?

The tear trough is the groove that runs from the inner corner of the eye down towards the cheek. It becomes more prominent due to:

• Natural ageing and volume loss
• Genetic predisposition
• Thinning of the under-eye skin
• Fat pad descent and bone resorption
• Lifestyle factors (poor sleep, dehydration)

Treatment Options

Hyaluronic Acid Filler

Carefully placed HA filler can restore volume and smooth the transition between the lower eyelid and cheek. This requires an experienced injector due to the thin skin and complex vascular anatomy of the area.

Polynucleotides

For patients with thin, crepey under-eye skin, polynucleotide injections can improve skin quality and reduce dark circles without adding volume.

PRP (Platelet-Rich Plasma)

PRP uses your own blood’s growth factors to stimulate tissue regeneration, improving skin thickness and reducing pigmentation in the under-eye area.

Important Considerations

The under-eye area is one of the highest-risk zones for filler treatment. Complications, while rare with experienced practitioners, can include the Tyndall effect (bluish discolouration) and vascular occlusion.

Choosing Your Practitioner

Always seek treatment from a medical professional with specific expertise in periorbital anatomy. Ask about their experience, complication management protocols, and the products they use.

Ready to address your under-eye concerns? Book an expert assessment.

Individual results vary. This content does not replace personalised medical advice.