The tear trough is the groove at the junction between where the lower eyelid and the cheek. As we age, one of the changes which is commonly noticed and ​commented on is the appearance and gradual worsening of dark circles under the eyelids. This occurs due to the thinning of the overlying skin and soft tissue over ​ the bony orbital rim. A band of tethering fibrous tissue called the orbitomalar ligament binds the skin underneath the lower eyelid to the underlying bony rim of ​ the eye socket. In youth, due to the surrounding plump fat, thicker overlying skin and soft tissue surrounding this structure, this ligament is usually invisible. ​ However, with age atrophy of the adjacent tissues and thinning of the skin occurs, leading to increased visibility of this deep attachment between the skin and ​orbital rim-the so-called tear trough deformity. ​

Various treatment options for the disguising the tear trough deformity exist but at Facetherapy NI, we use Teosyal Redensity II to plump up the tissue around the ​ligament (leaving the ligament intact). Using filler in this area is beneficial to clients who want a faster, more cost effective and non- invasive route than surgery! ​

If you’re bothered by any of the following concerns, then tear trough fillers could help restore your confidence: Shadowing under the eyes, visible fine lines around your eyes, deeper/dark hollows in your under eye area, folds under your eye area.​ Tear trough fillers can tackle all of these issues by restoring your skin’s natural hydration levels, so you look noticeably more youthful and less tired. Teosyal Redensity II is the only filler licensed in the UK specifically for the tear trough area. ​

You will notice a visible difference immediately after your treatment. Often, there can be some mild swelling which will subside after a few days to a week. ​ The results of the treatment last between 6 and 18 months depending on the individual. ​


For anyone considering this treatment, at Facetherapy NI, we offer free consultations. During a consultation, the problem area or the area to be enhanced would be ​discussed. Different options and the advantages of opting for dermal fillers would be highlighted, and what to expect in terms of any minor discomfort or slight​ bruising. Before and after photographs of previous clients will be shown and the customer would be reassured of the highest level of professional care and safety​ standards that are upheld at Facetherapy NI as well as benefiting from my years of professional experience and expertise. ​


The treatment will usually take around 30-40 minutes. The fillers we use contain hyaluronic acid which boosts the skins natural hydrating ​system, lifting, smoothing and enhancing elasticity for a very natural result. The dermal fillers we use also work with tissue and supports everyday movement ​- providing longevity and sustained definition. These products are the leading dermal fillers in the aesthetics business and are the most effective. Whilst performing​ this treatment we either inject the dermal filler or use a cannula – to provide a great deal of precision and accuracy.