Tear trough fillers in London.
Under-eye shadows have several possible causes. At MHB Aesthetic in Mayfair, begin with an assessment of the hollow, skin and surrounding tissues before deciding whether filler is an appropriate option.
- Free initial consultation
- Face-to-face advice in Mayfair
- A plan based on your needs
Is the concern a hollow, a shadow or puffiness?
Tear trough fillers: key details
- Price
- Premium dermal filler · per ml: £250. MHB’s general per-ml tariff. Your area, product and required volume are assessed individually; this is not a fixed whole-treatment quote. See full pricing and options.
The tear trough is the groove between the lower eyelid and the upper cheek. In selected patients, filler may soften a hollow in this area. It does not treat every cause of dark circles, and adding volume may worsen some forms of under-eye puffiness.
Pigmentation, visible vessels, thin skin, fluid retention and eye bags can all contribute to a tired-looking under-eye area. Your practitioner should assess these separately and discuss the possibility that an injectable treatment is not suitable.
This is a delicate treatment area with important anatomical risks. At your Regent Street consultation, ask about area-specific experience, the proposed product, alternatives and the arrangements for urgent complications. The aim is an informed decision, not a promise of an airbrushed under-eye.
Concerns to discuss
- Under-eye hollows
- A shadow at the eyelid-cheek junction
- Distinguishing pigmentation from volume loss
- Puffiness or previous under-eye filler
- Suitability and higher-risk area questions
What can tear trough fillers help with?
A consultation helps establish the changes that may be achievable and whether treatment is appropriate for you.
Address a suitable hollow
Carefully selected patients may see a softer transition between the lower eyelid and cheek when volume loss is part of the concern.
Separate the causes
A detailed assessment can help you understand why pigmentation, eye bags and fluid retention need different approaches.
Make a considered decision
Discuss the limitations, potential for persistent swelling and alternatives before deciding whether treatment is worthwhile.
Treatment response and duration vary. Your practitioner should explain realistic expectations and alternatives before you decide.
Explore suitability & risks
Is this treatment right for you?
Your consultation should assess your facial anatomy, skin, previous treatments, medical history and expectations. Choosing no treatment remains an option, and a small or staged plan may be more appropriate than treating several areas together.
Active infection or inflammation at the treatment site needs assessment first. Tell the practitioner about pregnancy, breastfeeding, allergies, immune conditions, bleeding problems and every prescribed or non-prescribed medicine you take.
Existing puffiness, malar swelling, prominent eye bags, very lax skin or previous under-eye filler may make further filler unsuitable. A clinician may recommend specialist assessment instead. This area requires particularly careful patient selection.
Discuss your suitabilityPossible risks & limitations
Swelling, bruising, tenderness and redness can follow treatment. Unevenness, infection, lumps, migration and delayed inflammatory reactions are also possible; some concerns need further treatment.
Filler can enter or compress a blood vessel, blocking its blood supply. This is called vascular occlusion and can cause skin damage, permanent scarring and, rarely, visual complications including blindness or a stroke.
Increasing or unusual pain, pale or mottled skin, or changes in vision need immediate medical attention. Sudden visual symptoms are an emergency: call 999 and tell the treating team straight away.
The under-eye area is a higher-risk and technically sensitive injection site. Persistent swelling, a blue-grey hue, visible irregularities and delayed problems can occur. Visual complications may be permanent; a cannula or dissolving medicine does not make the procedure risk-free.
Plan your aftercareYour consultation at MHB.
Personal advice, clear information and a plan that starts with your concerns.
A conversation about you
Discuss your concerns, medical history and the changes you hope to achieve before deciding on treatment.
Clarity before you decide
Understand the proposed approach, who will treat you, the full cost, possible risks and your aftercare.
Face-to-face care in Mayfair
Visit MHB Aesthetic at 205 Regent Street, near Oxford Circus, and know who to contact after your appointment.
Isabel
Consultations
Martin
Treatment practitioner
Meet the people behind your care
At your consultation, confirm who will carry out your treatment, their qualifications and experience, and who will support your aftercare.
Meet the MHB teamTreatment, step by step.
From your first conversation to review, understand your options before deciding.
Consultation
Discuss your concerns and medical history. Your practitioner assesses suitability and explains your options.
Your starting pointYour decision
Ask about expected benefits, alternatives, possible risks and the full quote. Take the time you need to decide.
Before treatmentPreparation
Follow your individual preparation advice and confirm how comfort will be managed at your appointment.
Your personal planTreatment
Confirm the agreed treatment and consent with your practitioner before proceeding.
At the clinicAftercare & review
Leave with clear aftercare, review arrangements and contact details for any treatment concerns.
Ongoing support
Tear trough fillers recovery & aftercare.
Recovery depends on your treatment, the area and your individual response. Follow the specific written instructions provided by your practitioner.
Discuss your care planFor urgent treatment or aftercare concerns, contact the MHB team.
0755 447 7034Prepare with a full history
Tell your practitioner about previous filler, medicines, allergies, cold sores, recent dental work and planned procedures. Do not stop prescribed medicines without advice from the clinician who manages them.
Watch swelling carefully
Follow the specific plan for the eye area and avoid pressure or massage unless the practitioner directs it. New or persistent puffiness needs review; sudden pain or any visual change requires immediate medical attention.
Know when to contact us
Arrange the recommended review and keep your aftercare contact details. Seek prompt advice for worsening discomfort, persistent swelling or new lumps, and immediate medical attention for unusual pain, skin colour changes or visual symptoms.
Care, in our patients’ words.
Selected five-star Google review excerpts about care at our clinic, rather than outcomes for this specific treatment.
“The staff were so professional yet genuinely caring, and they explained everything clearly which really put me at ease.”
“They genuinely listened to my concerns and needs, ensuring that I felt cared for throughout the entire process.”
“They always answer all my questions with patience and professionalism.”
Individual experiences and results vary. Read the full reviews on Google.
Tear trough fillers prices in London.
Your quote should identify the treatment area, proposed approach, review arrangements and aftercare. Discuss the full cost before deciding.
Ask about your treatment planFree initial consultation
Discuss your concerns and available options.
| Treatment | Price |
|---|---|
| Premium dermal filler · per mlMHB’s general per-ml tariff. Your area, product and required volume are assessed individually; this is not a fixed whole-treatment quote. | £250 |
Prices may change. For the latest prices and availability, please check our online booking page.
View prices & book
Visit MHB in Mayfair.
Visit our Regent Street clinic for a face-to-face consultation, just three minutes’ walk from Oxford Circus station.
MHB Aesthetic Clinic205 Regent Street
London W1B 4HBContact & visiting information
Tear trough fillers: your questions.
Straightforward answers. And if you’d like to know more, we’re always happy to talk.
Ask us a questionWill tear trough filler remove my dark circles?
Only some shadows relate to a hollow that filler may soften. Pigmentation, visible vessels and other causes will not necessarily improve. The first step is to establish what is causing your dark circles.
Can filler get rid of eye bags?
It does not remove eye bags or excess skin. Adding filler to an already puffy area can make it worse, so assessment may lead to advice against treatment or a recommendation for specialist review.
Why is the under-eye area higher risk?
The skin is thin, fluid drainage can be sensitive to added material and the area has connections to the circulation around the eye. Swelling, contour problems and rare but serious visual complications need to be discussed before consent.
Is tear trough filler the same as eye mesotherapy?
No. Tear trough filler aims to alter the contour of a selected hollow. Eye mesotherapy involves a different treatment approach and should not be presented as interchangeable. The proposed product and intended purpose should be clear.
Can I have more filler if I had it elsewhere before?
Previous product may still be present, even if you were told it would have worn off. Share your treatment history. Further assessment or a different plan may be needed before adding anything to the area.
What if I develop a change in vision?
A sudden visual change during or after filler treatment is an emergency. Call 999 and inform the treating team immediately. Do not wait for a booked follow-up appointment or attempt to manage it with massage.
Where can I discuss an under-eye concern?
Book a free initial consultation at MHB Aesthetic, 205 Regent Street, Mayfair, London. The consultation can establish whether filler is appropriate or whether another assessment is needed.
Treatment information
This page provides general information about tear trough fillers. Your consultation provides individual advice, including suitability, alternatives, risks and aftercare.
Page updated .
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