How long does tear trough filler last?
The delicate under-eye area is often the first place to show signs of tiredness, stress and ageing. For patients noticing dark circles, under-eye hollows, or a sunken appearance, tear trough filler has become one of the most requested dermal filler treatments at The Aesthetics Doctor clinic. But how long do the results really last?
If you’re considering under eye treatment for the first time, or just weighing up when you might need a top-up, here’s everything you need to know. From how long results typically last to the factors that can influence their longevity.
What Is Tear Trough Filler Used For?
Tear trough treatment is a non-surgical option designed to gently restore volume beneath the eyes. It’s especially popular for improving:
- Hollowness or dark circles
- Mild under-eye bags or volume loss
- A tired or drawn facial appearance
- Fine lines just beneath the lower eyelid
The treatment uses hyaluronic acid filler, a hydrating, skin-supportive substance naturally found in the body, to add subtle volume and support in this delicate area. In expert hands, dermal eye fillers can brighten the eyes, smooth the transition from the lower eyelid to the cheek, and refresh the overall facial aesthetics, without adding unnecessary bulk.
So, How Long Does It Actually Last?
In most cases, the effects of tear trough filler last around 9 to 12 months. Some patients may notice results lasting even longer depending on their metabolism, lifestyle, and how much dermal filler was initially placed.
It’s a treatment that doesn’t require constant upkeep. Unlike dynamic areas of the face, the under-eye area doesn’t experience frequent movement, which means dermal eye fillers tend to break down more slowly.
Dr Ahmed explains:
“Tear trough filler tends to be one of the longest-lasting areas for hyaluronic acid filler treatments. But we always remind patients that longevity isn’t just about the product, it’s also about placement, your facial anatomy, and who’s carrying out the treatment.”
What Can Affect Longevity?
Several factors can influence how long your tear trough treatment results last:
• Metabolism: Faster metabolisms may break down filler more quickly
• Filler Type: Lightweight, flexible dermal fillers are often used for safety and natural integration
• Injection Technique: Poor placement or overfilling can lead to faster breakdown or visible issues
• Lifestyle: Smoking, stress, sun exposure, and poor sleep accelerate ageing and degrade skin
• Skincare: Hydrated skin with good skin elasticity supports better and longer-lasting results
Additionally, how well your lymphatic drainage system functions can also influence swelling, filler retention, and overall appearance.
Signs You Might Need a Top-Up
There’s no strict rule for when to return, but common signs that your under eye treatment is wearing off include:
• A return of under-eye hollows or shadowing
• Feeling like your tired-looking eyes are coming back even with rest
• Loss of that smooth, bright under-eye area look
• Visible differences in photos or videos
If you notice these changes, it’s worth scheduling an initial consultation to explore touch-up options with your practitioner.
What to Expect After Treatment
- Treatment Time: Around 15 to 30 minutes
- Downtime: Minimal, although some bruising or swelling is possible
- Discomfort: Low and most describe it as a mild pressure
- Results: Immediate with best results visible after two weeks
Because the infraorbital rim is highly vascular and delicate, precision is essential. Aftercare is just as important. Avoid alcohol, heavy skincare, and intense exercise for 24 hours as part of your post-treatment care.
How to Maintain Your Results
While dermal eye fillers can’t be made permanent, you can extend the effect with healthy habits and occasional complementary treatments:
• Use an eye cream with peptides or hyaluronic acid
• Stay hydrated and protect the skin barrier
• Use sun protection to minimise UV-induced breakdown
• Support the area with collagen-stimulating treatments to boost collagen production and tone
• Consider laser therapy or a laser eye lift to refine texture and boost brightness
Occasional touch-up options or combining treatment with cheek filler can also support the mid-face structurally and optimise your liquid eye lift result.
Can Tear Trough Filler Be Reversed?
Yes, and that’s one of the biggest advantages of using hyaluronic acid filler. If needed, the product can be safely dissolved using hyaluronidase. This is particularly helpful if a patient experiences an inflammatory response, swelling, or cosmetic concern.
This reversibility adds a layer of safety, especially when managed by a medical professional registered with Save Face, the UK’s trusted register for safe aesthetic treatments.
Is It Right for You?
Tear trough filler is ideal for patients with mild to moderate under-eye hollows, dark circles, or a hollowed appearance. It’s not recommended for people with very large fat pads, significant laxity, or major skin excess. In those cases, other procedures like chemical peels or surgical options may be more appropriate.
Your initial consultation will help determine if dermal filler is the right solution for your facial anatomy and aesthetic goals.
Book a Consultation
If you’re thinking about tear trough filler or want to maintain your results with expert care, book a consultation at The Aesthetics Doctor in London.
Dr Ahmed offers personalised assessments and long-term planning tailored to your facial aesthetics. Whether it’s your first under eye treatment or a touch-up, you’ll receive expert guidance every step of the way.
Visit theaestheticsdoctor.com to get started.
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