Tear Trough Treatments

Sometimes we look at ourselves and see an ever increasing hollowness forming under our eyes. Sometimes others tell us that we look tired or stressed when we might not feel that way. If that’s the case, then tear trough treatment could be just what you need. Tear troughs are hollows that form underneath the eyes as a result of fat loss and skin laxity. They might be unsightly but the good news is they can be easily fixed with dermal fillers with an impressive success rate. With the right precision and expertise, the area could be completely restored to give the appearance of a great night’s sleep. The results are designed to look completely natural and others won’t even be able to tell that you’ve had any treatment done in the first place- you’ll just look fresher and brighter but only you will know why. Dr Hayder Ria has been treating tear troughs successfully for over 9 years and with thousands of successful treatments under his belt, it’s hard to imagine why you would consider going anywhere else!

what are tear troughs

What Causes Tear troughs Under the Eyes?

Tear troughs can have a number of causes:


Ageing is the culprit behind many aesthetic issues and tear troughs are certainly one of them. As we age, we lose volume under the eye and the space that opens up underneath produces a shadowy hollowed effect that we perceive as looking tired or older


Smoking is terrible for the skin. Long-time smokers typically end up with “smoker’s face” which is characterised by loose, shallow skin, deep creases and hollowness under the eyes.

Lack of sleep

People who do not get enough sleep often end up with increased hollowness and under the eyes. It usually doesn’t cause significant hollowness on its own but can enhance this further if one already has them.


This is probably the leading cause of tear troughs in younger clients as lots of people who lead a healthy lifestyle and aren’t old enough to experience significant volume loss still present with tear troughs because one or both parents have the same issue.


Why consider a Tear Trough treatment?

Tear troughs often give people the impression that you look tired or stressed and this can affect one’s confidence. It also allows others to make assumptions about your lifestyle that aren’t necessarily true. Treating the issue with dermal fillers can help to significantly reduce the appearance of tear troughs and just give the impression of looking fresher and well-rested. The best part is that the treatment looks completely natural and won’t be obvious to others.

Dermal filler is effectively a gel made of hyaluronic acid (which is contained naturally within the skin itself) which can plump up and lift the hollowness under the eyes to restore it’s appearance. Because dermal fillers are found naturally in the skin, rejection is almost unheard of and the filler usually integrates really well into the skin so much so that most people, including yourself, won’t be able to tell that it’s there.

non surgical cheek enhancement

Frequently Asked Questions

Why should I have my Tear Trough treatment at Harley Street Dermal?
  • Dr Ria is one of the leading cosmetic doctors in London, with over 20,000 treatments performed successfully over the last 9 years
  • Dr Ria specialises in under eye treatments and is well-recognised across the industry as an under-eye specialist
  • We focus on producing results that look as natural as possible, working hard to break the stereotypes of ‘fake’ results that can often be seen online or on social media
  • We use only the highest quality products that focus on delivering results with safety as a top priority
  • We use the most advanced techniques, using a micro-cannula, to produce the best results with minimal swelling and bruising. Mastery of these techniques is only possible after performing thousands upon thousands of treatments across a variety of different people with different needs. This gives us the breadth of experience to treat almost any issue with confidence and accuracy.
  • We have a proven track-record- just have a look at our many before/after images that showcase only a small selection of our brilliant work over the years
  • Our reviews speak for themselves- with over 500 5-star Google reviews, it’s not difficult to imagine that patient satisfaction is our top priority
  • Our prices are competitive and reasonable. We are much more affordable than most other clinics for the uncompromising high quality results that we deliver at such a prestigious location
  • We are based at a beautiful first-class clinic at the world-renowned Harley Street, located at the heart of London
  • We care that you care- Dr Ria is easily and directly contactable by anyone after treatment to ensure that you are recovering safely and with the results you want. This includes reviewing treatment where necessary.
What Are The Benefits of a Tear Trough Treatment?
  • Tear Trough treatment can improve the hollowness under the eye to restore the area and give an impression of looking fresher and less tired
  • The results look completely natural and most people won’t look like they had treatment by the time the treatment settles
  • The treatment usually takes around 30 minutes so it’s easy to fit in between other commitments
  • There is usually minimal downtime and you can usually resume your normal routine immediately after treatment.
  • Treatment of tear troughs with dermal fillers eliminates the need to subject yourself to the pain, costs and risks of invasive surgery. It’s significantly cheaper and much, much less risky
  • Results usually last around 12 months, sometimes longer.

There’s no long-term commitment- in the event that you feel the treatment is not for you, the treatment can be completely reversed with dissolving or left to break down slowly over time. This is unlike surgery where the results are irreversible.

How do I know if Tear Trough Treatment is right for me?

The answer to this is quite simple- if you’re looking to reduce the appearance of hollowness under the eyes at an affordable price and with minimal downtime, then tear trough treatment using dermal fillers could be the right solution for you.

Will the results look natural?

Absolutely. Dr Ria is one of the most respected and experienced practitioners for dermal fillers in London with over 20,000 treatments performed successfully over the last 9 years. His focus is on enhancing your appearance in a way that doesn’t draw the wrong type of attention to yourself but rather subtly enhances what you already have or restores what you might have lost in volume over the years.

Is Tear Trough Treatment painful?

Weirdly, no! Before the procedure begins, a topical anaesthesia will be applied to help numb the target area. Dr Ria usually uses a combination of injection techniques which are often only mildly uncomfortable and most people tolerate the procedure without any issue and minimal pain.

What should I expect on the day?

Dr Ria would usually welcome you and start with a detailed consultation. This would include discussing any previous treatments you’ve had, what your understanding of the treatment is and exploring your goals and expectations. He will also discuss the nature of the injecting procedure and related risks. If you are agreeable, Dr Ria will then usually conduct the treatment by first taking a pre-treatment photo and then applying topical anaesthetic while you complete the necessary medical and consent forms. After the treatment is complete, the treatment area is massaged and cleaned and then a post-treatment photo is usually taken for comparison purposes. Dr Ria will then explain any relevant aftercare and offer you information on how to contact him for questions or any follow-up you might require. Dr Ria is always contactable directly by his clients for any clinical queries by email.

What should I expect afterwards?

There will usually be some redness and swelling in the injected areas. Usually this is mild/minimal but can vary from person to person and depending on the amount of work conducted during treatment. It’s usually easy to mask using cosmetics and often doesn’t last for more than 7-10 days

Are there any precautions I should take beforehand or afterwards?

We usually advise that you refrain from drinking any alcohol for 48 hours before your treatment as this could increase your chances of bruising. Other than that, there’s not much you need to do in preparation for the treatment. We do not advise stopping any medication before your treatment.

Is there any follow-up after the procedure?

We don’t routinely follow up everyone after their treatment. However, in certain cases some people will need more treatment and they would usually be encouraged to come for a top-up or ‘second stage’ treatment (which comes with a charge). However, if you ever feel the need to be reviewed after your treatment for whatever reason then Dr Ria is always happy to offer this free of charge.

Can I see examples of your work?

Absolutely, have a look below at some of the treatments we’ve done over the years. You can also see more examples of our work and videos explaining treatments on our Facebook, Instagram and Tiktok pages.

Some of our Tear Trough Treatments

Your New Look Starts Here

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