Tear trough filler in Cobham, suitability assessed first.

What the tear trough actually is

The tear trough is the deep crease between your lower eyelid and upper cheek. When it deepens, it casts a shadow that reads as dark circles, tiredness or age, regardless of how well you slept. Some people inherit a hollow or dark trough; for most it grows more pronounced over the years as the facial fat pads and cheeks lose volume, leaving the under-eye area unsupported. Understanding which story is yours is the first job of the consultation. It is also why photographs are taken before treatment: under-eye change is subtle, and evidence beats memory.

How the treatment works

A lightweight hyaluronic acid filler, such as Juvéderm Volbella, is placed carefully into the tear trough to restore support and fullness, reducing hollowness and shadowing. The placement takes just five to fifteen minutes inside a 30 to 45 minute appointment, and the treatment is relatively painless, with minimal discomfort. Results are visible immediately and continue improving for up to four weeks as the filler settles and hydrates the area. The benefits go beyond the crease itself: the whole area looks firmer, smoother and simply more awake.

When filler is the wrong tool

Not every tired-looking eye wants filler, and our doctors will tell you which kind is yours:

• Dark circles caused by pigmentation, which filler cannot lighten
• Prominent fat pads, where filler can worsen rather than help
• Very thin under-eye skin, where product may show

In these cases your doctor may suggest alternatives such as polynucleotides, and because Cobham carries our most complete treatment menu, the better answer is usually available in the same building.

The cheek connection

The tear trough does not exist in isolation: it is supported from below by the cheek, and when mid-face volume slips, the under-eye hollows follow. That is why tear trough filler so often pairs with cheek filler at £435 per syringe, rebuilding the foundation as well as the crease. Your doctor plans the combination as one picture, and will tell you honestly if cheeks alone would solve what brought you in. One conversation, one plan, one price agreed before anything happens.

Afterwards, and how long it lasts

Some swelling or bruising around the injection sites is normal and resolves over roughly two weeks, timed neatly against your complimentary review, where your doctor checks the result against your photographs, and makeup covers most of it in the meantime. From there, tear trough filler lasts approximately 18 months, making it one of the longer-lasting treatments we offer, and a rare example of a fifteen-minute procedure that changes how every photograph reads for a year and a half.

Doctors who look you in the eye

Every under-eye treatment in Cobham is performed by Dr Yasmin Tayeb, Dr Olivia McCormack, Dr Bianca Coveva or Dr Ghazala Khan, from assessment to injection to review, with no delegation and no rotating faces. The area demands medical judgement, and the village setting supplies the time to exercise it: unhurried appointments, honest conversations, and a free 15-minute skin scan below if you would rather start with a map of what is actually going on under the surface.

See the work, not just the words

Twenty minutes for the eyes, in the heart of Cobham

Our flagship clinic at 27 High Street sits among the village cafés and boutiques, with parking close by. The under-eye appointment itself is brief, so most clients wrap it inside an ordinary morning, and the diary stretches to 8pm Monday to Thursday and 5pm on Saturdays for everyone else.

Clients reach us easily from Oxshott, Stoke d’Abernon, Leatherhead, Weybridge and Esher, with Cobham & Stoke d’Abernon station connecting the wider county. Closer to town? The same treatment runs with our doctors at the Wimbledon clinic.

Book a consultation

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