17/05/2026
“Demonized” doesn’t always mean dangerous.
Sometimes it means misunderstood.
Tear trough filler is still one of my favourite treatments in aesthetic medicine when the patient is selected correctly, the product is chosen carefully, and the technique is performed with extreme precision.
This is not a “quick filler area.”
This is millimetre work.
The under-eye area is delicate, vascular, unforgiving, and technically demanding — which is exactly why I approach it with almost obsessive attention to detail. Those who have watched me work know… the room goes quiet, my breathing slows down, and for a moment it’s just me, the cannula, anatomy, and precision.
Because successful tear trough treatment is not about “filling a hollow.”
It’s about understanding:
• facial anatomy
• fat pad support
• ligament structure
• tissue quality
• light reflection
• product rheology
• and knowing when NOT to treat.
For this procedure, I work with Teosyal Redensity II — one of the very few fillers specifically designed and indicated for the delicate under-eye area. Its formula combines crosslinked and non-crosslinked hyaluronic acid together with amino acids, antioxidants, minerals, and vitamins, allowing it to behave almost like a hybrid between a filler and a skin quality treatment.
Which means the result you see immediately after treatment is not the final result.
Over the following weeks, the product continues to integrate beautifully within the tissue as hydration and skin quality improve. The goal is never puffiness or heaviness. The goal is for somebody to look:
• fresher
• healthier
• more rested
• softer
without anyone being able to tell why.
Tear trough filler restores deep structural support on the periosteum. But if superficial creasing, thin skin, or poor tissue quality still remains after swelling settles, this is where regenerative treatments such as polynucleotides can elevate the result even further.
Right patient.
Right product.
Right depth.
Right amount.
Right movement.
Right restraint.