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Tear Trough Treatment

The eyes are one the most important features of the face and so it is important to have them looking fresh and youthful. The tear trough is a hollow area between the lower eyelid and where it meets the upper cheek. This gives the appearance of dark circles, under eye shadows or bags. This can make a person look more tired and older. It is called a tear trough deformity because tears run into the dark circle and out to the side of the cheek, instead of rolling straight down the cheek as they do when children cry.

middle aged woman


Some people have a small groove and for others it is very deep.

Treating the under eye area is an advanced procedure which requires specialist training and as a result is often not treated. As a result, patients are not receiving full benefits of treatment.

To achieve the best possible results, it is important that you are treated by a medial practitioner who has detailed knowledge of facial anatomy and experience with injecting fillers. It is also important that the best quality products are used and that the treatment is carried out in a clinical environment with strict protocol.


Tear troughs can be hereditary but also appear and deepen as we age. There are several changes which take place as we age which contribute to the formation of tear troughs –

The eye sockets become larger and the shape changes due to loss of bone
Loss of fat in the middle part of the face resulting in loss of support and sagging
The skin becomes thinner and less elastic

When treating the tear troughs, it is important to support and treat the middle part of the face first. This will support the tear troughs and so a better result will be achieved when the tear troughs are injected. It is also important to improve the quality of the skin to enhance the result.

Before treatment, a local anaesthetic cream is applied for 15 – 20 minutes before treatment. The area is then cleaned and the small amounts of a light hyaluronic acid dermal filler is then injected precisely. The area is then massaged. You will be able to see the results immediately. After treatment, you will be given specific after care instructions and also advised not to apply make-up for up to 6 hours to reduce the risk of infection.

We use Juvederm Vobella, which is the latest advanced technology hyaluronic acid filler. This filler maintains its shape and position for up to 12 months. Juvederm is the top filler in USA and is also FDA approved which means it is safe and effective. Hyaluronic acid is a natural substance in the body which hydrates skin and lubricates joints. Since hyaluronic acid is a natural substance, an allergy test is not needed. The fillers are reversible and will gradually break down over time.

There may be swelling, bruising and redness after the treatment which can last for 1 – 2 weeks. Hence, please avoid this treatment before a social event.

The filler can be dissolved with another injection if required. However, this is rarely required but it is good to know that this is possible.

Results last for 12-18 months but this can depend upon several factors. This includes, the volume of filler injected, and life-style factors such as sunlight and smoking which affects how quickly the body breaks down the filler. When the results fade, the treatment can be repeated.


Some patients are not suitable for the treatment. Patients with excessive amounts of crepy skin or very baggy eyes are not suitable and may need to consider surgical treatment.


Tear troughs can be treated in a number of ways. Dr Tailor and her team will be able to advise you of the best treatment option for you. These include:

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Patient Reviews


GOING THE EXTRA MILEDr Tailors working ethic is spot on. Offering good helpful knowledge and advice that is 'Tailor made' (scuse the pun) for you. Showing a picture of how your skin could look after a treatment manages your expectations and helps you understand better, plus offering heat treatment upfront to aid faster healing of bruising if necessary, is going the extra mile. I also thought a handout sheet detailing after care was so valuable which is an important part of getting the best out of your treatment and the first time I have been offered this.Female patient (61) GENERAL - GOING THE EXTRA MILE (61)
THEY KEEP ON TOP OF THE LATEST TREATMENTSThe atmosphere in the clinic is very relaxing and the people incredibly friendly and helpful. There is no hard sell and they take their time explaining the treatment and answer any concerns you may have. I highly recommend Health and Aesthetics! They keep on top of the latest treatments and are always full of advice.Female patient (55) GENERAL - THEY KEEP ON TOP OF THE LATEST TREATMENTS
PROFESSIONAL TREATMENTSProfessional treatments combined with a relaxing environment and attentive staff!Alison (46) GENERAL - PROFESSIONAL TREATMENTS - ALISON (46)

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2018 Best Clinic South England Finalist (Aesthetic Awards)

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Oak House
Tanshire Park
Elstead/Shackleford Road
Elstead, Godalming

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T 01252 933 133

Opening Times

Monday09:15 – 17:30
Tuesday09:15 – 19:00
Wednesday09:15 – 17:30
Thursday09:15 – 19:00
Friday10:00– 17:30
Saturday09:00 – 16:00
We kindly require 48-hour notification to alter or cancel your appointments; failure to provide the relevant cancellation notice will result in a charge.Please note that we cannot accommodate any children at our clinic at any time. We are sorry for any inconvenience this might cause.We look forward to welcoming you!


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