Specialist Periorbital Anatomy Expertise

Tear trough filler is one of the most technically demanding injectable treatments. Our dermatologists have specific expertise in periorbital anatomy and injection technique for this sensitive area.

Appropriate Filler Product Selection

Tear trough treatment requires specific filler products that are suitable for use in the thin under-eye skin and do not cause the Tyndall effect (bluish discolouration). Product selection is central to safe outcomes.

Conservative Volume Approach

Over-filling the tear trough leads to an unnatural, puffy appearance. A conservative volume philosophy ensures natural and proportionate results.

Cannula-Based Injection Where Appropriate

Blunt cannulas can be used in the tear trough area for a safer injection approach that reduces bruising and vascular risk compared to sharp needles in this sensitive area.

Reversibility of Treatment

Hyaluronic acid filler used in the tear trough can be dissolved with hyaluronidase if needed, providing an important safety option in this complex treatment area.

Holistic Under-Eye Assessment

Tear trough filler is placed in the context of a full under-eye and midface assessment to ensure treatment is appropriate, natural-looking, and harmonious with overall facial proportions.

Tear trough filler may be suitable for individuals with:

•   Hollow or sunken under-eye area creating shadow dark circles
•   Volume loss beneath the eyes due to ageing or genetics
•   A tired or haggard appearance related to under-eye hollowing
•   Under-eye circles that worsen significantly with weight loss or fatigue
•   Adequate under-eye skin quality (not too thin or crepey)
•   Realistic expectations for natural volume restoration

Tear trough filler is not suitable for all types of dark circles and requires careful assessment. A thorough consultation identifies whether volume loss is the primary cause of the under-eye concern and whether filler is the most appropriate treatment.

Tear trough filler provides meaningful improvement for volume-related under-eye concerns:

•   Softens the hollow tear trough groove
•   Reduces shadow-based dark circles and tired appearance
•   Immediately visible improvement in under-eye contour
•   Long-lasting results of 12–18 months
•   Reversible if needed with hyaluronidase
•   Can be combined with other under-eye treatments for comprehensive improvement

Results are visible immediately following treatment, with swelling reducing over the following week to reveal the final, natural-looking outcome.

A thorough under-eye assessment and full facial evaluation is essential before tear trough filler to confirm that volume loss is the primary cause of the under-eye concern and that the patient is a suitable candidate.

Avoid blood-thinning medications, fish oil, vitamin E, and alcohol for 48 hours before treatment to minimise bruising.

Disclose any prior under-eye treatments, filler in the area, or known reactions to hyaluronic acid products at the consultation.

Tear trough filler treatment begins with topical numbing or nerve block application to ensure patient comfort in the sensitive periorbital area.

The filler is injected carefully into the tear trough region using a fine needle or blunt cannula, depending on the technique most appropriate for the patient's anatomy. Precise placement at the correct depth is essential.

The procedure typically takes 20 to 30 minutes. Immediate swelling may temporarily affect the appearance; the final result settles over one to two weeks.

Swelling and bruising around the treated eye area are common after tear trough filler and typically resolve within five to ten days. Sleeping with the head slightly elevated for the first few nights reduces swelling.

Avoid pressing or rubbing the eye area. Cold compresses can be gently applied in the first 24 hours to help reduce swelling.

A review appointment two weeks after treatment allows the dermatologist to assess the settled result and determine if any minor adjustments are needed.

Tear trough filler is one of the higher-risk injectable treatment areas due to the thin skin, complex vascular anatomy, and proximity to the eye. When performed by an experienced dermatologist following appropriate safety protocols, serious complications are rare.

Common temporary effects include swelling, bruising, and mild tenderness, typically resolving within a week.

Potential complications include the Tyndall effect (blue tint from filler placed too superficially), prolonged swelling, or vascular complications. These risks are significantly reduced by appropriate patient selection, product choice, and injection technique by a trained practitioner. All hyaluronic acid fillers used can be dissolved with hyaluronidase if required.

The cost of tear trough filler in Delhi depends on the volume of filler required and the product used.

Most patients require a single syringe or less for tear trough treatment. Results typically last twelve to eighteen months, after which maintenance treatment may be recommended.

A personalised cost estimate is provided during the under-eye consultation and assessment.