Fillers to treat under eye bags
 in London

Unrivalled quality with natural, long-lasting results

At Harley Street Face Clinic, many patients come to us with a shadow or depression that appears beneath the lower eyelid, this is often termed the tear trough.

Why choose dermal fillers for a lower eyelid lift?

This appearance of under-eye bags can give a tired appearance. Patients often find people comment that they look stressed or tired. The changes to the under-eye area are often related to genetics, and sometimes to lifestyle, for example, if you smoke cigarettes.

The junction between the lower eyelids and upper cheek is referred to as the tear trough area. Tear trough hollowing is one of the earliest ageing changes and is often a common feature from childhood. As we get older, this area alters in appearance, by becoming more hollowed, darker, deeper and less revitalised.

In some people depressions can develop can make the eyes look somewhat sunken, creating unattractive dark shadows and giving the appearance of tiredness, exhaustion and old age.

Improving the under-eye area

There are essentially two ways in which this can be improved:

  • Non-surgically with tear trough filler (aka non-surgical lower blepharoplasty)
  • Surgically with lower blepharoplasty (eyelid surgery)

Filler treatment is a popular solution for early treatment of these changes to the tear trough. The treatment involves carefully injecting a gel-like substance into specific areas around the eyes, with the objective of softening deep wrinkles and lines.

Treatment to the lower eyelid with filler is a more challenging technique and many non-specialist clinicians do not offer it as it is more difficult to administer than for other parts of the face.

What does tear trough filler involve at The Harley Street Face Clinic?

A numbing local anaesthetic cream is applied to the areas being treated. Especially, made for us, it was designed in Beverly Hills and manufactured in Germany.

The filler also contains an anaesthetic and combined with the numbing cream should make the experience pain-free.

We use the new fast healing cannula technique to administer the filler, which results in less swelling and bruising so that the recovery is quicker.

Additionally, dermal fillers can be used on other facial areas at the same time as the tear troughs to give an enhanced natural result. Common areas for filler enhancement include the cheeks, chin & jawline, nasolabial folds (laughter lines), nose and lips.

When will I see the results from lower eyelid fillers?

You can expect to see relatively ‘instant results’ with our filler treatments. There will be minor swelling after the treatment, but for most patients, this disappears overnight.

There may be mild swelling for 5-days (in approximately 5% of patients), and a small possibility, (<2%) of minor bruising.

For most patients, the final results of their tear trough fillers will be evident approximately 5-days after all the swelling has disappeared.

With our techniques that apply filler at deeper levels and filler, choice results can last for 18 – 24 months, although results vary for individuals.

Will I look natural with lower eyelid fillers?

At The Harley Street Face Clinic we pride ourselves on achieving natural-looking results. Our expertise is renowned as we only perform facial treatments (surgical and non-surgical). We have appeared throughout the media and on national television and have talked about all aspects of facial aesthetics, and the Phi Golden Ratio to apply the principles of facial balance.

We offer a conservative approach, avoiding the use of excessive fillers that can result in a bad, overdone result that doesn’t look natural. We are careful to take the individual characteristics of each face into consideration and applying the appropriate amount of filler in the right places to achieve the desired results.

    Client Reviews

    "The procedure that I had with Dr De Silva went very well and I am happy with the results. Dr De Silva and his team spent a lot of time with me: they were good listeners and their answers gave me a lot of reassurance."


    "I always felt well looked after and I'm very happy with the results. The entire experience was premium from initial consultation to follow ups. I would recommend paying more to be confident in the safety of your procedure."


    "The whole process from start to finish has been outstanding. Dr Julian De Silva acted professionally from the outset, he listened very carefully to what I wanted and most importantly, delivered the best results I could have possibly asked for."



    23 Harley Street
    W1G 9QN , UK

    Call: 020 8016 6045


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    Dr Julian De Silva
    5 stars based on 458 reviews

    Renowned expert in Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results