Tear Trough (Under Eye) Rejuvenation in Marylebone, London

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Dermal fillers are strategically injected into the tear troughs, plumping and smoothing the area.

Lost volume is restored and lines and creases are softened. Dermal fillers also hydrate the area and enhance the skin’s ability to hold moisture. The result is the reduction of the appearance of dark hollows or shadows, giving a more youthful, brighter appearance.

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Tear trough rejuvenation uses precise dermal filler injections to restore lost volume under the eyes, helping to soften hollows and shadows that can make you look tired or aged. By adding subtle volume and smoothing the delicate under-eye area, it can reduce the appearance of dark circles, lift and brighten the eyes, and create a fresher, more youthful look.

This non-surgical treatment offers quick results with minimal downtime, so most patients can return to their normal activities almost immediately. The effect of restoring volume also helps to improve overall facial harmony, making the eyes appear more open, awake, and balanced with the rest of the face.

Because tear trough fillers work beneath the skin, they can also help the area retain moisture and look smoother, which further enhances a rested appearance.

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Tear trough filler works best for patients experiencing hollowing, shadowing, or a sunken appearance beneath the eyes due to natural volume loss with age.

You are likely a good candidate if you have:

• Good skin quality and tone in the under-eye area
• Concerns that are structural – caused by volume loss rather than skin laxity
• Realistic expectations for a subtle, natural-looking improvement

Tear trough filler may not be suitable if you have:

• Very thin, crepey, or loose skin under the eyes
• Pronounced under-eye fat pads or festoons (malar bags)
• Concerns better addressed by a surgical approach

At Medisha Clinic, Dr Nish Shah assesses every patient’s facial anatomy in detail during consultation before recommending treatment – ensuring filler is the right solution for your specific concern.

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Tear trough filler is a safe and well-established treatment when performed by a qualified medical professional. As with any injectable, it is important to be fully informed of the potential risks beforehand.

Common side effects (temporary):

• Bruising and swelling at the injection site – typically resolving within 7-14 days
• Mild tenderness or sensitivity in the treated area

Less common risks to be aware of:

• Tyndall effect – a bluish tint caused by filler placed too superficially; avoided through precise technique and correct product selection
• Vascular occlusion – a rare but serious complication where filler affects a nearby blood vessel, requiring prompt treatment

At Medisha Clinic, hyaluronidase – the enzyme used to dissolve hyaluronic acid filler – is always available on-site, and Dr Nish Shah is trained in its use should reversal be required.

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Tear trough filler requires very little downtime. Following a few simple guidelines in the days after treatment will help optimise your results and minimise any side effects

In the first 24 hours:

• Avoid touching or applying pressure to the treated area
• Do not apply makeup directly under the eyes
• Sleep with your head slightly elevated

For the first 48 hours:

• Avoid strenuous exercise, alcohol, and excessive heat (saunas, steam rooms, hot baths)
• Avoid flying where possible

What to expect:

• Results are visible immediately, though mild swelling may affect the initial appearance
• The final result settles within 2-4 weeks
• Longevity varies by individual – most patients see results lasting 12-18 months

If you have any concerns after your treatment, the Medisha Clinic team is on hand to advise.

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Dermal fillers consist mainly of hyaluronic acid, a naturally occurring bodily substance. Hyaluronic acid binds moisture within the skin and can hold 10,000 times its weight in water. The other element is a small number of painkillers to make sure the treatment is pain-free.

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• Lost volume
• Lack of hydration
• A gaunt, drawn, or tired appearance
• Dark hollows or circles under the eyes.

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At Medisha Clinic in Marylebone, Dr Nish Shah is accustomed to placing injections in areas of sensitive skin. While in the vicinity of the tear trough, Dr Nish Shah will do it as gently and safely as possible. Because hyaluronic acid is a natural bodily substance, allergic reactions are rare.

Read more here!

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During your tear trough treatment at our Marylebone aesthetic clinic, we apply a topical numbing cream to the tear trough area in advance. This is to ensure the placement of the fillers is pain-free. Tear trough treatment is swift, taking only a few minutes.

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One of the advantages of dermal fillers is that the results are immediate. There might be some slight bruising or swelling at the injection sites, but this will quickly fade, leaving you with a transformed appearance without having to wait. The longevity of results varies from client to client, ranging anywhere from 12-18 months. Repeat tear trough treatments can turn a temporary enhancement into a lasting change of appearance.

Read more about the best tear trough aftercare here!

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Tear trough treatment at Medisha Clinic is performed by Dr Nish Shah, a medically qualified aesthetics doctor with extensive experience treating the delicate under-eye area. A thorough, personalised consultation ensures the treatment is carefully tailored to your facial anatomy, skin quality, and concerns, helping to achieve safe, natural-looking results. Medisha Clinic is known for its conservative, precise approach to dermal fillers, prioritising subtle rejuvenation rather than overcorrection. Patient safety, comfort, and aftercare are central to every treatment, and the clinic’s discreet Mayfair, London location provides a professional and reassuring environment. With a strong reputation for high standards and consistent outcomes, Medisha Clinic is a trusted choice for tear trough rejuvenation in London.