Under-eye and tear trough filler for men, London
For when you look tired in every photo and you are not.
GMC-registered doctors
Same price for every man
Nothing to pay to book
What it does
The hollow between the lower lid and the top of the cheek is called the tear trough. When it deepens it casts a shadow, and the shadow is what reads as tiredness. That is why sleep does not fix it and why people keep asking whether you are alright.
Filler placed deep in that hollow, down on the bone, lifts the floor of it slightly so light stops falling into a trench. The change people see is a shadow softening rather than anything being added to your face.
It is a small amount of product. Usually well under a millilitre in total across both sides, placed at two or three points through a cannula. This is the area where less is genuinely more, and it is the area where clinics get greedy.
Not everybody has a hollow. Some men have pigment in the skin, some hold fluid, some have loose skin, and filler is the wrong tool for all three.
Is this you?
- People ask if you are tired on days you have slept fine
- There is a groove under the eye that shows up under overhead light
- It has got slowly worse over about five years and you cannot point to when
- You lost weight and your face got hollower with it
How it goes
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Consultation, 15 minutes
This one takes longer than the others, because the assessment decides whether we treat you at all. A doctor looks at the hollow, the skin, the fluid and how the area moves. A meaningful share of the men who come in for this are better off with something else, and they get told that.
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Numbing, 10 minutes
Cream first. The area is more sensitive than the jaw and it gets longer.
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Treatment, 15 minutes
A cannula through one entry point on each side, product placed on the bone, small volumes, checked with you sitting up.
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Two weeks later
Free review. The under-eye holds fluid more than anywhere else on the face, so what you see on day two is not the result. Two weeks is.
Aftercare, plainly
- Puffiness in the first days is normal here more than anywhere.
- A cool compress helps. Rubbing does not: leave the area alone.
- Sleep with your head slightly raised the first night if you can.
- The two-week review is part of the treatment, not an extra.
Results
Same light, same angle, same distance, no retouching.
Nothing here yet. New results go up as patients consent to them.
A photograph goes up here only once the man in it has signed a consent form for that exact use. We would rather show you nothing than show you somebody else's stock photo, or a pair shot under two different lights.
Will I look done?
Under-eye is the area where doing too much shows fastest, so this is the treatment we are most conservative with. Filled correctly, the hollow under the eye is softened and the shadow lifts. Overfilled, it puffs, and everyone can see it.
Not everyone is suitable. If the darkness under your eye is pigment rather than shadow, or if there is a lot of fluid there, filler will not fix it and may make it worse. A doctor will tell you that at the consultation and you will not be charged for finding out.
£350
a ml, any area
Usually 1ml or less, charged as 1ml: £350.
Includes the consultation, the treatment, aftercare and your two-week review. The under-eye usually takes under a millilitre, charged as one.
If a doctor decides filler is not the right answer for your under-eye, you pay nothing and nobody makes it awkward.
You never pay more than the pack above. Under 1ml is charged as 1ml.
Who does it
Dr Richard
Dr Richard carries out the treatments at SkinBros 001. He is a doctor registered with the General Medical Council, and every appointment starts with him looking at your face and telling you what would actually help, including when the answer is nothing. TBC
Doctors only. Every treatment at SkinBros is carried out by a doctor registered with the General Medical Council, and you can check him on the register yourself.
The price is on the board before you walk in, so the consultation is about your face, not about selling you something.
Every appointment starts with an assessment, and part of a doctor's job is to tell you when the answer is to do nothing.
Questions
Will this work for me?
It depends what is causing the darkness. If it is a hollow casting a shadow, filler usually helps a lot. If it is pigment in the skin, or fluid, filler will not fix it and can make it look worse. A doctor will tell you which one you have got, and you are not charged for finding out.
Will people be able to tell?
Under-eye is the area where doing too much shows fastest, so it is the treatment we are most conservative with. Filled correctly the hollow softens and the shadow lifts. Overfilled it puffs, and everyone can see it. We start light and review at two weeks.
Does it hurt?
It is uncomfortable rather than painful. We use numbing cream first, and the filler itself contains a local anaesthetic. Anti-wrinkle injections feel like a scratch and are over in a couple of minutes. Most men tell us it was less than they expected.
How long does it last?
Usually 12 to 18 months, depending on the area, the product and how quickly you metabolise it. Men often metabolise filler slightly faster than women, which is worth knowing before you compare notes with anyone.
Is it reversible?
Yes. We use hyaluronic acid fillers, which can be dissolved with an enzyme. That is one of the main reasons we use them. Anti-wrinkle treatment is not dissolvable but it wears off on its own in three to four months.
How long does the swelling last?
Usually a few days. The under-eye area holds fluid more than anywhere else on the face, so it is normal to look slightly puffy at first and to see the real result at two weeks. That is exactly why the review appointment exists.
What if my dark circles are genetic?
Pigment and hollowing are two different problems and a lot of men have both. Filler addresses the hollow. Pigment is a skin problem and needs a different approach. You will get an honest answer at the consultation about which is which.