Doctor-led · Hyalase

    Dissolving tear trough filler — elective and emergency.

    Old under-eye filler is the most common reason patients come to us looking 'tired'. We dissolve, reset, and — only if appropriate — re-treat. We also accept emergency Hyalase referrals from other clinics.

    See examples of corrected cases. Tear trough before & after gallery — including dissolving and re-treatment cases.

    When dissolving is the right answer

    Migration into the cheek

    Old or over-volumised tear trough filler can drift outward and downward, creating a permanent 'puffy' or 'baggy' look that the patient mistakes for a worsening eye bag.

    Tyndall effect (blue tint)

    Filler placed too superficially shows blue through the thin under-eye skin. Hyalase reverses it in minutes.

    Lumps or asymmetry

    Small visible nodules that didn't soften by week 4–6, or a clear left-vs-right difference, can be selectively dissolved.

    Vascular event (emergency)

    Sudden blanching, severe pain or vision change after injection requires hyaluronidase within hours. We carry it on-site at every clinic and we accept emergency referrals.

    Vascular emergency? If you have sudden severe pain, blanching, mottled skin or any vision change after a recent filler appointment, contact us or attend A&E immediately. We hold emergency Hyalase appointments daily at our Harley Street clinic.

    Common dissolving questions