TEAR TROUGH REJUVENATION

1. Initial Consultation: The process begins with a thorough consultation with Dr Arun, who will assess your facial structure, skin condition, and discuss your aesthetic goals.

2. Medical Assessment: Your medical history will be reviewed to ensure you're a suitable candidate. Dr Arun will check for allergies, previous reactions to fillers, and any contraindications.

3. Treatment Planning: Based on your facial anatomy and desired results, Dr Arun will develop a tailored treatment plan

1. Cleansing: Dr Arun thoroughly cleanses the treatment area to remove any makeup, oils, or impurities.

2. Topical Anaesthetic Application: A numbing cream is applied to minimise discomfort during the procedure. This typically requires 5 minutes to take effect.

3. Treatment Mapping: Dr Arun then marks the areas to be injected, carefully planning placement for optimal results.

4. Filler Injection: Using a fine needle or cannula, the dermal filler (hyaluronic acid-based) is precisely injected into predetermined areas of the lips.

5. Massage and Molding: Dr Arun gently massages the product to ensure even distribution and proper contouring.

6. Final Assessment: Both Dr Arun and the patient evaluate the immediate results, with potential touch-ups applied as needed.

7. Post-Treatment Care Instructions: Dr Arun provides detailed aftercare guidelines to optimise healing and results.

Aftercare notes for tear-trough filler treatment:

Needle entry points, redness, bruising, swelling and asymmetry around injection sites immediately after treatment is normal due to the very nature of the treatment.

There may also be some tenderness present as the bruising and inflammation sets in. These symptoms will resolve over the next 2-7 days, depending on your individual response to the treatment. It may take a full 2-4 weeks for all swelling to settle; until this time we cannot re-treat.

For 24 hours avoid:

• Touching your face

• Applying makeup

• Skincare with active ingredients

For 48 hours avoid:

• Intense physical activity

• Sleeping on side or front

• Spa's/Saunas

• Massage/facials

• Touching/rubbing/massaging/exfoliating/applying pressure to treated areas

• Alcohol & blood thinning medications

For 7 days avoid:

• Avoid rubbing your eyes

This treatment typically lasts for approximately 12–24 months before requiring a top-up. The longevity of results varies based on several factors.

• Treatment Area: Fillers in highly mobile areas such as lips tend to break down faster than less mobile areas

• Metabolism: People with faster metabolisms may break down fillers more quickly

• Lifestyle: Sun exposure, smoking, saunas and intense physical activity can reduce longevity

• Injection Technique: The skill of the injector can impact how long results last

• Type of Filler: dense fillers tend to last longer than soft fillers.

1. Hollowness under the eyes

2. A sunken appearance to the eye

3. Dark circles under the eye
   
   Under-eye fillers won't address pigmentation issues. If pigmentation is a concern, it will be identified during your consultation. We can then recommend specific skin creams, including prescribed Obagi products, which will be delivered to you. Alternatively, if you're a suitable candidate for Sunekos, we can discuss its benefits in more detail during the consultation.
   
   In addition, people with severe under eye bags may not respond well to this treatment, in which case we can advise you accordingly on how to treat this issue. Book a consultation.

This treatment can be performed alongside many of our other treatments. It may sometimes be more convenient to do so if you've been recommended another treatment to complement your features. Sometimes we combine tear trough filler with cheek filler to build up support beneath this area. We can also combine the treatment with anti-wrinkle injections to the crow's feet and brow areas to reduce fine lines and gently lift the brow. The combination of these treatments can result in a dramatic improvement to the entire eye area. If you have both hollowing and hyperpigmentation, we would need to address the hollowing under the eyes first, before addressing skin quality and hyperpigmentation with Sunekos two weeks later, or with medical-grade skin products.

Yes, tear trough filler can help reduce under eye wrinkles. We also sometimes treat under eye wrinkles conservatively with anti-wrinkle injections and this can help dramatically for certain clients.

Yes, we use hyaluronic acid fillers to treat the under the eye, reversible at any time. Therefore they can be dissolved if a client does not like the result or if a complication arises (however, this is extremely rare).

A maximum of 2ml is used in total per session for tear trough rejuvenation. This is enough to achieve the desired result in most cases. However for patients with extreme anterior cheek volume loss, we may use up to 5ml.

When addressing tear troughs, we use Teoxane Teosyal Redensity 2. Recognised as one of the thinnest filler available on the market, it is particularly effective for this facial region due to the extreme delicacy of the skin beneath the eyes.

1. No alcohol or exercise for 24 hours

2. No hot showers or sauna/steam rooms for the rest of the day

3. No touching/rubbing the eyes for the rest of the day.

Tear trough filler is a procedure designed for comfort, aiming to be as painless as possible. It utilises a tool known as a cannula, which is a blunt, flexible tube that gently navigates beneath the skin. This method ensures minimal tissue trauma. Most individuals find the process extremely tolerable, often unaware that the cannula is even beneath their skin.

We offer tear trough filler treatment in our Mayfair clinic and in our Kingston clinic.

Tear trough filler Mayfair - 2nd Floor, 15 Dover Street, W1S 4LP

Tear trough filler Kingston - 169 Richmond Road, KT2 5DA

Under eye filler costs £400. You only need 1 session to achieve your desired result. Some people also need anterior cheek support in which case we will use 2ml in total; 1ml for the tear trough and 1ml for the anterior cheek compartment. This treatment costs £600.

People with mild under eye bags can respond well to tear trough filler. However, in more severe cases, this may require surgery. If you are unsure, feel free to book in for a consultation at our Kingston or Mayfair clinic and we can advise accordingly. If surgery is indicated, we can refer you on to a reputable plastic surgeon who performs lower blepharoplasty.