The under-eye area, known as the tear trough, is one of the most delicate regions of the face. It is also one of the first to show signs of tiredness, stress and natural ageing. Hollows, dark shadows, fine lines and a “sunken” look can make someone appear fatigued even when they are healthy and well-rested.

For many people, this isn’t just an aesthetic issue, it can affect self-confidence and how others perceive them. Fortunately, modern aesthetic medicine offers a subtle, non-surgical solution: tear trough dermal fillers.

What Exactly Are Tear Trough Fillers?

Tear trough fillers are a type of dermal filler treatment specifically designed for the area beneath the eyes. They are usually made of hyaluronic acid (HA), a substance naturally found in the skin that attracts and retains water, keeping tissues plump and hydrated.

When injected carefully into the tear trough, these fillers:

• Restore lost volume, filling hollow grooves.
  
• Reduce shadows, which often create the look of dark circles.
  
• Smooth the transition between the lower eyelid and the cheek.
  
• Brighten the eyes, giving a fresher, more rested look.
  

Unlike concealers or creams, fillers work beneath the surface to correct the structural causes of tired-looking eyes.

Why Do Tear Trough Hollows Appear?

There are several reasons why the under-eye area changes over time:

• Ageing: Natural loss of collagen, elastin and fat pads creates a hollowed look.
  
• Genetics: Some people are simply predisposed to deeper tear troughs.
  
• Lifestyle: Stress, lack of sleep and dehydration can accentuate shadows.
  
• Skin quality: Thin or delicate skin under the eyes can make hollows more visible.
  

It’s important to note that not all “dark circles” are caused by hollows. Sometimes pigmentation or vascular factors play a role. That’s why a personalised consultation is key to identifying whether fillers are the right solution.

Benefits of Tear Trough Dermal Fillers

Patients often notice a transformation that is subtle yet powerful. Benefits include:

• A refreshed appearance – you look less tired, even without makeup.
  
• Natural results – when done correctly, no one will guess you’ve had a treatment.
  
• Quick procedure – usually 20–30 minutes.
  
• Minimal downtime – most people resume daily activities the same day.
  
• Long-lasting effects – results often last 9–12 months.
  
• Boost in confidence – brighter eyes can improve how you feel in professional and social situations.
  

The Viva Well Philosophy: Safety and Subtlety

At Viva Well, we believe that aesthetic medicine should enhance, not transform. For tear trough fillers, this philosophy is especially important. Overfilling the under-eye area can look unnatural or create puffiness, which is the opposite of what patients want.

That’s why:

• We always begin with a detailed consultation.
  
• Treatments are performed by qualified professionals.
  
• Only premium, clinically approved products are used.
  
• Every injection is carefully placed to respect your unique anatomy.
  

In some cases, fillers may not be the best option. For example, patients with very thin skin or severe pigmentation might benefit more from alternative treatments, such as skin boosters, laser therapies or collagen stimulators. Our role is to guide you honestly and ethically towards the safest and most effective choice.

What to Expect: Before and After

• Before: visible hollows, tired or shadowed eyes, loss of smooth transition from eyelid to cheek.
  
• After: brighter eyes, smoother contour, natural rejuvenation that looks effortless.
  

Results are visible immediately, though some swelling or mild bruising may occur and usually resolve within a few days. Final results settle in 1–2 weeks.

Safety Considerations

The under-eye area is anatomically complex, with blood vessels and delicate tissues. This makes it essential to choose a qualified and experienced practitioner. At Viva Well, being a CQC-registered clinic means we follow the highest standards of safety, hygiene and ethical practice.

FAQs About Tear Trough Fillers

How long do results last?
On average, 9–12 months, depending on metabolism and lifestyle.

Is the procedure painful?
Most patients describe it as mild discomfort. We use numbing cream for comfort.

Can it remove dark circles completely?
If shadows are caused by hollows, yes. If pigmentation is involved, additional treatments may be needed.

What if I don’t like the result?
Hyaluronic acid fillers are reversible with an enzyme called hyaluronidase, which can dissolve the product safely if necessary.

Conclusion

If you’ve ever looked in the mirror and thought your eyes make you look more tired than you feel, tear trough dermal fillers could be the subtle refresh you’ve been searching for.

At Viva Well, we combine clinical expertise with an artistic eye to ensure results that are safe, natural and truly personalised. Because the best compliments are the ones where people say: “You look so well-rested”, without ever knowing why.