What product does Dr Sabrina use for tear trough treatment?

Dr Sabrina uses TEOSYAL® PURESENSE REDENSITY 2 by TEOXANE — the only dermal filler in the UK licensed specifically for the treatment of the tear trough area. Its specific formulation is designed for the delicate periorbital anatomy, providing gentle, natural-looking volume correction with a low risk of the Tyndall effect (visible bluish discolouration) that can occur when unsuitable fillers are used in this area.

Is a cannula safer than a needle for tear trough filler?

Yes. Dr Sabrina uses a blunt-tipped cannula rather than a sharp needle for tear trough injections. The blunt tip cannot pierce blood vessels, significantly reducing the risk of bruising and the rare but serious risk of vascular occlusion. In the delicate periorbital area — where vessels are small and proximity to the eye is a consideration — cannula technique is the gold standard in expert hands.

How long do tear trough filler results last?

Results are immediate and continue to improve over four weeks as any swelling settles and the filler integrates into the tissue. Duration is typically 12 to 18 months, depending on individual metabolism and lifestyle. Some patients find this area holds filler for longer than other facial regions.

Tear trough filler before and after — dark circle and under-eye hollow treatment for male patient. Pelle Aesthetics Hertford

✦ UK’s only licensed tear trough product — TEOSYAL® Redensity 2

Tear Trough Filler · Hertford, Hertfordshire

Tear Trough
Augmentation
in Hertford

The under-eye hollow that makes you look permanently tired, older, or unwell — even when you feel fine. Dr Sabrina uses TEOSYAL® PURESENSE REDENSITY 2, the only dermal filler in the UK licensed specifically for the tear trough, to restore volume and brighten this uniquely delicate area.

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LicensedUK product for tear trough

CannulaBlunt-tip for safety

18 monthsResults duration

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Rated 5.0 by 156 patients on Google. Pelle Aesthetics is Hertfordshire’s top-rated doctor-led aesthetics clinic.

The Treatment

Restoring the
tear trough

The tear trough is the groove that runs from the inner corner of the eye down towards the cheek. When volume is lost from this area — through ageing, weight loss, or genetics — the hollow casts a shadow that creates the appearance of dark circles, tiredness, and premature ageing, regardless of how well-rested you actually are.

Tear trough augmentation uses a very small amount of specifically formulated dermal filler to restore volume within this groove, softening the transition between the lower eyelid and the cheek. The result is a more rested, refreshed, and open appearance — visible immediately and improving over four weeks as the filler settles.

The tear trough is one of the most technically demanding areas of the face to treat well. Dr Sabrina uses the only product in the UK licensed specifically for this anatomy, administered via cannula for precision and patient safety.

Why it matters

More than
tired eyes

The under-eye area is often the first thing people notice in a face. A pronounced tear trough signals fatigue and age to observers even when the rest of the face looks healthy — and is one of the most difficult features to disguise with makeup alone, because no concealer can fill a structural hollow.

Treatment is suitable for both men and women and is particularly effective for patients whose dark circles are driven primarily by hollowing rather than pigmentation. Dr Sabrina will assess the relative contribution of each at consultation — because where pigmentation is the dominant cause, filler alone will have limited impact and a combined approach may be recommended.

Dr Sabrina

GMC-Registered GP · Founder & Lead Clinician, Pelle Aesthetics
Hertford, Hertfordshire

Understanding the Problem

What causes
tear trough hollows?

Genetics & Hereditary Anatomy

Some patients have a pronounced tear trough from a young age due to their bone structure and fat distribution. The groove is simply deeper or more defined in their anatomy — unrelated to ageing, and present regardless of sleep quality or lifestyle.

Age-Related Volume Loss

As the mid-face fat pads diminish and descend with age, the transition between the lower eyelid and cheek becomes increasingly hollow. The junction that was once smooth and well-supported becomes a visible groove casting a persistent shadow.

Weight Loss

Significant weight loss — including rapid loss from GLP-1 medications such as Ozempic or Wegovy — can deplete facial fat, making the tear trough hollow more pronounced even in younger patients who previously had little concern in this area.

Skin Thinning

The skin beneath the eye is the thinnest on the face. As it thins further with age and UV exposure, underlying structures including blood vessels become more visible — contributing to the darkened appearance alongside the physical hollow.

The Product

TEOSYAL® PURESENSE
REDENSITY 2

Not all dermal fillers are suitable for the tear trough. The wrong product in this area — too thick, too hydrophilic, poorly placed — can cause the Tyndall effect (a visible bluish discolouration under the thin periorbital skin), overfilling, migration, or prolonged swelling.

TEOSYAL® PURESENSE REDENSITY 2, manufactured by Swiss company TEOXANE, is the only dermal filler in the UK with a specific licence for treatment of the tear trough area. Its formulation is precisely calibrated for the delicate periorbital anatomy — providing gentle, natural-looking correction with the properties required to work safely and effectively in this uniquely challenging zone.

Dr Sabrina selects this product because it is the right tool for this specific anatomy — not because it is simply the most widely available.

TEOXANE®

Swiss manufacturer — leaders in HA innovation

Only

UK-licensed filler for the tear trough

PURESENSE

contains anaesthetic for patient comfort

Calibrated

viscosity engineered for periorbital anatomy

The Procedure

How tear trough filler
is performed safely

Full Facial Assessment

Dr Sabrina performs a comprehensive facial assessment before any treatment. This includes evaluating whether the dark circles are hollow-driven or pigment-driven, assessing mid-face volume, skin laxity in the lower eyelid, and confirming suitability for treatment.

Cannula Technique

Dr Sabrina uses a blunt-tipped cannula rather than a sharp needle. The blunt tip cannot pierce blood vessels — significantly reducing bruising and eliminating the risk of intravascular injection in the delicate periorbital zone. This is the gold-standard technique for tear trough treatment.

Precise Placement

The filler is carefully placed within the tear trough and massaged to achieve an even, natural-looking result. The procedure takes approximately 5 minutes per eye. Most patients continue with their normal day immediately after treatment.

Immediate Results

Results are visible from the same day. Any initial swelling settles over 24–48 hours, with the final result continuing to improve over 4 weeks as the filler integrates into the tissue. Duration of results is typically 12–18 months.

◆

A note on mid-face augmentation

Some patients will benefit from volume restoration in the mid-face cheek area alongside tear trough treatment. Because the tear trough is partly caused by descent and deflation of the cheek fat pads above, placing filler in the trough alone — without addressing the structural cause — can produce a suboptimal result. Dr Sabrina will advise on this during your assessment. Where mid-face treatment is recommended, Profhilo Structura, dermal fillers, or Radiesse may be considered alongside tear trough augmentation.

Guide Pricing

Investment in your result

Tear Trough Treatment

£350

both eyes treated in a single session — approximately 30 minutes

Duration

12–18 months

results immediate and improving over 4 weeks — many patients find tear trough holds filler well

With Mid-Face Treatment

Bespoke

if mid-face augmentation is recommended alongside — discussed and quoted at consultation

At a Glance

Treatment summary

Treatment Time

~30 minutes

Return to Work

Immediate

Recovery

24–48 hours

Results

Immediate, improves over 4 weeks

Duration

12–18 months

Cost

£350

Common Questions

Frequently asked questions

What causes dark circles and tear trough hollows?

Dark circles are usually caused by a combination of pigmentation in the under-eye skin and volume loss or hollowing in the tear trough region. The hollow casts a shadow that makes the area appear darker regardless of pigment. Causes include hereditary anatomy, age-related mid-face volume loss, significant weight loss (including from GLP-1 medications), and natural thinning of the skin beneath the eye. Where hollowing is the dominant cause, filler can make a significant difference.

What product does Dr Sabrina use?

Dr Sabrina uses TEOSYAL® PURESENSE REDENSITY 2 by TEOXANE — the only dermal filler in the UK with a specific licence for treatment of the tear trough area. Its formulation is precisely calibrated for the delicate periorbital anatomy, providing gentle, natural-looking volume correction without the risk of the Tyndall effect or excessive swelling that can occur when unsuitable fillers are used in this area.

Why does Dr Sabrina use a cannula rather than a needle?

A blunt-tipped cannula cannot pierce blood vessels, significantly reducing bruising and eliminating the risk of intravascular injection — a rare but serious complication that can occur in the periorbital area when sharp needles are used. In expert hands, cannula technique is the gold standard for tear trough treatment and Dr Sabrina uses this approach for all tear trough cases.

Will I need mid-face treatment as well?

Some patients benefit from mid-face augmentation alongside tear trough filler to optimise the outcome. This is because the hollow is often caused or worsened by volume loss in the cheek fat pads above — treating the trough without addressing the structural cause can produce a suboptimal result. Dr Sabrina will assess this at consultation and provide transparent advice on whether additional treatment is recommended for your anatomy.

Who is not suitable for tear trough filler?

Tear trough filler is not suitable for patients with significant skin laxity or excess skin in the lower eyelid, those whose dark circles are primarily pigment-driven rather than hollow-driven, patients who are pregnant or breastfeeding, or anyone with active infection or inflammation at the treatment site. Dr Sabrina will assess your suitability carefully at consultation and will not proceed with treatment if the anatomy is not appropriate.

Tear TroughAugmentationin Hertford

Restoring thetear trough

More thantired eyes

What causestear trough hollows?