What Are the Different Types of Dermal Fillers for the Eyes and Tear Troughs?

Author: Nyla Raja
Date Last Modified: 17 March, 2026
Practitioner marking facial treatment areas on patient’s jawline and chin prior to non-surgical aesthetic procedure

If you are considering treatment for under-eye hollows, dark circles, or a tired appearance, understanding the different types of dermal eye fillers is essential. Not all fillers are suitable for the delicate tear trough area, and choosing the right product plays a key role in achieving safe, natural-looking results.

In this guide, Dr. Nyla Raja and her team explain the most commonly used dermal filler products for under the eyes, their benefits, and how to determine the most suitable option for your individual needs at a leading dermal fillers London clinic.

What are the benefits of tear trough treatment?

Unlike dark circles and eye bags that are relatively easy to reduce (using a cold compress and staying hydrated), tear troughs are generally harder to cover and reduce. Tear troughs are physical hollows under the eyes that cast a shadow, which can make a person look tired and aged.

Dermal eye fillers (or tear trough filler) are injected into strategically placed areas of the under eye to add volume and help reduce the look of physical hollows. Benefits of tear trough fillers include:

  • Eyes remain expressive.
  • Skin looks fuller and smoother.
  • Addresses dark circles, tear troughs, and eye bags.
  • Adds volume to thin areas of the under eye.

To find out more about the benefits of under-eye fillers, visit our Blog page.

What fillers are used for the tear trough treatment?

There are different types of dermal filler products, all of which have the same goal of adding volume to facial areas. However, certain dermal filler products are not as beneficial as others when it comes to the under-eye area.

Calcium hydroxylapatite

This type of dermal filler stimulates collagen production in the skin, which, in turn, adds volume to certain facial areas. However, many practitioners choose not to utilise Calcium hydroxyapatite fillers as there is the risk that the under-eye area may become overly white after the treatment.

Poly-L-lactic acid

Poly-L-lactic acid filler is a much thicker substance and encourages collagen production. Unlike hyaluronic acid-based dermal fillers, which offer immediate results, this type of filler takes longer to see results, and may take around three monthly treatments to achieve the desired appearance.

Although the results are long-lasting, due to the thick substance, there is a risk of lumps occurring underneath the skin. If you want tear trough fillers, it is important to seek a reputable clinic with the appropriate qualifications. This reduces the risk of underqualified practitioners administering the facial fillers, which may lead to botched results.

Patient undergoing dermal eye filler surgery

Watch the complete testimonial on Dr Nyla’s YouTube channel.

“When I came to Nyla, she just makes you feel so comfortable. She asks you a lot of questions and doesn’t rush you into anything.

With Nyla being a doctor herself, you always feel confident in her.”

– Sharon

Patient undergoing dermal eye filler surgery

Watch the complete testimonial on Dr Nyla’s YouTube channel.

“When I came to Nyla, she just makes you feel so comfortable. She asks you a lot of questions and doesn’t rush you into anything.

With Nyla being a doctor herself, you always feel confident in her.”

– Sharon

Find out more information about the safety of dermal eye fillers here.

Hyaluronic acid (HA)

HA fillers are the most common type of dermal eye fillers, as hyaluronic acid is naturally produced in the body. As we age, our bodies start to break down the hyaluronic acid and produce less of the substance, much like collagen production. This then affects the cosmetic appearance of the skin, including fine lines, signs of ageing, and wrinkles.

Dermal fillers, in areas such as the cheeks and under the eyes, help administer hyaluronic acid back into the skin to help restore loss of volume and smooth any lines.

Dr. Nyla and her team administer injectable hyaluronic acid-based fillers, such as Juvéderm, Restylane, Belotero, and Teosyal. During your in-depth consultation, our medical practitioners will assess your suitability and find which product will best suit your needs.

Contact Dr. Nyla and her team to book your consultation for tear trough fillers.

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What hyaluronic acid products are available for dermal eye filler?

When it comes to tear trough fillers, there are certain products and well-established brands that have been FDA-approved, and are popular on the UK market:

Restylane

Restylane is applied in certain facial areas to smooth wrinkles and other fine lines. Different products can be used in various ways, including lip enhancement and adding volume to the cheeks. This hyaluronic acid-based filler is primarily used for the cheeks and lips; however, it can help address dark circles under the eyes.

Restylane products include:

  • Restylane: this dermal filler is used for facial wrinkles and tear troughs, to help reduce the appearance of dark circles under the eyes.

Belotero

Belotero is a much thinner HA filler compared to the other types. As it has a thinner consistency, Belotero helps address smaller and finer lines and wrinkles in areas such as under the eyes.

Although the thin substance means that Belotero is softer and spreads more easily, this also results in Belotero not lasting as long as other dermal filler products.

Before seeking a tear trough filler consultation, research the clinic to ensure they have the appropriate qualifications and have a history of performing dermal filler treatments. At Dr. Nyla, our team has a combined clinical experience of over 50 years, and has experience in administering safe and effective dermal fillers.

To find out more about tear trough treatment and if it is right for you, read our Blog page.

Teosyal

Teosyal is a dermal filler brand that is commonly used in Europe. The filler is injected into facial areas, such as the cheeks and under the eyes, to address facial wrinkles. As it is a soft and malleable substance, this makes it ideal for subtle enhancement to address eye bags and tear troughs.

Teosyal products include:

  • Teosyal Redensity 2:this is the first and only hyaluronic acid-based filler designed specifically for the tear troughs.

Juvéderm

Juvéderm is one of the most popular injectable fillers and has been FDA-approved since 2006. This dermal filler product is unique from the other facial fillers, as it contains a mild anaesthetic (lidocaine) that minimises any pain and discomfort. Dr. Nyla and her team can also apply a topical numbing cream to further reduce any pain during the injection treatment, especially as the eye area can be sensitive.

Under the eyes, Juvéderm provides strong volumising effects in treating eye bags, and can fill fine lines such as crow’s feet.

Juvéderm products include:

  • Juvéderm Volbella: This is a suitable product to treat tear troughs.

All the dermal filler products that are hyaluronic-acid-based have very similar benefits, including smoothing fine lines and wrinkles, and stimulating collagen production back into the skin.

It is up to the medical practitioner for which dermal filler product is used under the eyes. During the consultation, they will be able to address your needs and assess your suitability, using their knowledge of dermal fillers in what product they will administer.

Dr. Nyla is one of the top cosmetic doctors in the UK and is a favourite amongst celebrities and high-profile clients. With extensive expertise in dermal fillers London, she delivers refined, natural-looking results tailored to each individual. Instead of just one treatment, we offer bespoke treatment packages that are specific to your needs, all using the latest technologies and techniques.

Dr Nyla and team

Meet Dr. Nyla Raja: Skin Specialist

If you are interested in speaking to one of our team members or finding out more information on tear trough fillers, book a consultation today.

Frequently asked questions

How can you reduce swelling and bruising after dermal eye fillers?

After dermal eye fillers, you will be able to see results immediately. However, there may be slight swelling and bruising around the treatment area. Make sure you are staying hydrated by drinking plenty of water and avoiding alcohol and blood-thinning medications (such as aspirin) before and after treatment.

Which dermal filler is best for the tear trough area?

The most suitable dermal filler for the tear trough is typically a soft, hyaluronic acid-based product designed for the delicate under-eye area. The exact choice depends on your anatomy, skin quality, and the degree of volume loss, which is why a personalised consultation is essential.

Can dermal eye fillers be dissolved if needed?

Yes, hyaluronic acid-based dermal fillers can be safely dissolved using an enzyme called hyaluronidase. This allows practitioners to adjust or reverse results if necessary, providing an added level of safety and control.

How long does dermal eye filler treatment take?

The procedure itself is relatively quick, usually taking between 20 and 30 minutes. Additional time may be needed for consultation, assessment, and numbing to ensure the treatment is performed safely and comfortably.

Can dermal eye fillers treat dark circles completely?

Dermal eye fillers can improve the appearance of dark circles caused by shadowing from volume loss. However, if pigmentation or skin quality is the primary cause, additional treatments such as skin boosters or laser therapies may be recommended for optimal results.

Find out more about the recovery time for under-eye fillers here.

Related content

How Long Does Tear Trough Treatment Last? | What to Expect

What Are the Benefits of Dermal Eye Fillers? | A Treatment Guide

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About the Author

Dr Nyla Raja | Founder & Medical Director
(MBCHB (Hons.). MRCGP (Dist.). DFFP. DPDermatology. BACD.

Date Published: 9 May, 2023