If you are looking at tear trough filler, please read this first. The under-eye is one of the most delicate and higher-risk areas for dermal filler, so at KONCEPT® we usually recommend polynucleotides to improve the quality of under-eye skin instead. Your under-eye is assessed by Dr Maryam, a GMC-registered doctor, who recommends the safest approach for you.
Consultation £150, redeemable against your treatment.
No fat cushion
Under-eye skin has little or no fat layer beneath it
Thin barrier
The outer skin barrier is around 3 cell layers here, against 15 or more elsewhere
Close to vessels
The area sits near important blood vessels, so it needs a careful, doctor-led approach
Skin-structure figures from peer-reviewed studies of facial skin. These features are why the under-eye behaves differently from the rest of the face.
Tear trough filler can work well for the right person, but the under-eye is technically demanding and carries more risk than many other areas. Because the skin is so thin and has little fat beneath it, filler here can show as a bluish tinge or as visible lumps. It can also be associated with prolonged or chronic swelling and with migration over time, and the area sits close to important blood vessels.
For these reasons many doctors are cautious about placing filler under the eye. We would rather give you an honest assessment than treat an area where the risks are higher than the likely benefit.
For most patients we recommend polynucleotides to improve the quality of under-eye skin. They are an injectable that supports the skin’s own repair and improves the firmness and quality of thin under-eye skin, working on the skin itself rather than adding volume. This gives a different and lower-risk profile in this delicate area.
Where a doctor judges that tear trough filler is genuinely the right option for you, it is available and placed with care, with the dissolving medicine on site. The point is that a doctor decides with you, rather than treating the under-eye by default.
Consultation £150, redeemable against your treatment. See the full aesthetic price list.
Tired-looking under-eyes can affect how we feel, and wanting to look refreshed is completely normal. For some people, though, distress about a feature is driven by how they feel rather than by how it looks, and treatment does not settle that distress. Body Dysmorphic Disorder, or BDD, is a recognised mental-health condition of this kind, and it is more common among people seeking cosmetic treatment, where studies report around 7 to 15 in every 100 may be affected, compared with about 2 in every 100 people generally. Because your treatment is led by a GMC-registered doctor, your consultation considers your wellbeing as well as your skin. If treatment is unlikely to help, the caring answer is to say so and to point you towards support, including your GP and the BDD Foundation.
Sometimes, but the under-eye is one of the most technically demanding and higher-risk areas for dermal filler. For most patients KONCEPT recommends polynucleotides to improve the quality of under-eye skin instead, as a lower-risk approach. Filler under the eye is considered only where a doctor judges it genuinely appropriate, after assessing you in person.
The under-eye skin is very thin with little fat beneath it, so filler can show as a bluish tinge or as visible lumps. Filler in this area can also be associated with prolonged or chronic swelling and with migration over time, and the area sits close to important blood vessels. For these reasons many doctors are cautious about under-eye filler.
Polynucleotides, an injectable that supports the skin’s own repair and improves the quality and firmness of thin under-eye skin. It works on the skin itself rather than adding volume, with a different and lower-risk profile in this delicate area. Your doctor assesses you and recommends what suits you.
Under-eye polynucleotides are £350 for a single session and £892.50 for a course of three. Where a doctor judges tear trough filler appropriate, it is £500. Your plan and price are confirmed at your consultation. The full list is on our aesthetic prices page.
It depends on the cause, which is why a doctor assesses you first. Some under-eye concerns are about skin quality, some about hollowing, and some about pigment or shadow. A doctor explains what is realistic for your under-eye and recommends the right approach, or advises if treatment is unlikely to help.
Tear trough filler is a hyaluronic acid filler placed in the hollow under the eye to soften the look of a shadow or groove. It is one of the highest-risk areas in the face to treat with filler, which is why at KONCEPT it is only considered where a doctor judges it appropriate, and why we more often improve the under-eye with polynucleotides instead. Suitability is assessed individually at your consultation.
Where tear trough filler is appropriate, results can last around a year or sometimes longer, and because it is hyaluronic acid it can be dissolved if needed. At KONCEPT the under-eye is approached cautiously, so a doctor will discuss whether filler or a skin-quality treatment such as polynucleotides is the safer route for you. Individual results vary and suitability is assessed at your consultation.
Your treatment is performed by Dr Maryam Attarzadeh, a GMC-registered doctor and JCCP-registered aesthetic practitioner, at our CQC-registered Kingston clinic. No GP referral is needed, and you can book a consultation directly.
KONCEPT® Medical Clinic is registered with the Care Quality Commission for the regulated activities provided at our Kingston upon Thames premises. Treatments are performed by Dr Maryam Attarzadeh, on the General Medical Council register and registered with the Joint Council for Cosmetic Practitioners (JCCP), and an associate member of the British College of Aesthetic Medicine (BCAM). Information on this page is factual and individual results vary.
Doctor-led, honest, in the heart of Kingston upon Thames.