Cosmedocs · Clinical Gallery
Under-Eye / Tear Trough — Before & After
The under-eye is the highest-risk filler area on the face. These results show what tear trough filler can — and cannot — fix, and the cases where we recommend cheek filler instead.
"Our aesthetics is invisible art"
The Cosmedocs Standard
Tear trough softened — the dark shadow lifts because the hollow is filled, not because pigment changed.
Cheek + tear trough together — restoring the upper midface frame around the eye.
Tear trough filler is a small treatment, photographed dramatically
Honest photo interpretation
A tear trough result is rarely dramatic in person — but photographed under good light, the shadow change is obvious. Look at the line where the lower lid meets the cheek (the lid-cheek junction). When that line is shorter and the shadow above it is lighter, the treatment has done its job. If you have visible bags rather than hollows, filler will not fix them — it can make them worse. We will tell you this at consultation.
Doctor's note — why we turn 1 in 3 patients away
About a third of patients who book a tear trough consultation are not good candidates. The most common reasons: prominent under-eye fat pads (filler will accentuate them), very thin skin (filler is visible/blue), or skin pigmentation rather than shadow (filler does not change pigment). For these patients we suggest cheek filler, polynucleotides, or — in some cases — referring on for a lower-lid surgical opinion.
Patient Photo FAQ
How much filler goes in the under-eye?
Very little — typically 0.3–0.5ml per side. Anyone offering you 1ml+ per side in the tear trough is over-treating.
Will I look puffy afterwards?
Mild swelling for 48–72 hours is normal. If the area still looks puffy at 2 weeks, the filler is sitting too superficially and may need adjusting or dissolving.
How long does it last?
In a stable lower lid, 12–18 months. Tear trough filler can outlast its visible effect — the filler is still present at 3+ years on some patients.
Can it be dissolved?
Yes. We routinely dissolve tear trough filler — both our own when patients want a reset, and from other clinics where the result is unsatisfactory.
Individual results may vary. All images show real patients treated at CosmeDocs or complication cases managed by our team. Photos are unretouched and taken under consistent clinical conditions. A consultation is required before any treatment.
Explore More Results
Other concern-specific galleries from our Harley Street clinic.