Under-Eye Circle Reduction (Hyaluronic Acid)

Tear-trough filler uses hyaluronic acid to restore volume in the hollow beneath the lower eyelid — the anatomical root of dark circles and tired appearance in many patients. At Art Ethic, local anaesthesia is applied before injection to ensure comfort, and the result is visible immediately. Results last 8–12 months but are shortened by smoking, high alcohol intake, and other lifestyle factors. Patients are advised to avoid coffee, alcohol, vigorous exercise, and sauna on the day of treatment.

The tear trough — the groove between the lower eyelid and the upper cheek — is one of the most expressive zones of the face. Volume loss in this area creates a sunken appearance that casts a shadow, producing the dark semicircle beneath the eye that is often mistaken for pigmentation but is in most cases the result of structural volume deficit and skin transparency over the underlying orbicularis oculi muscle and orbital fat compartments. Hyaluronic acid filler placed precisely in the tear-trough plane restores this volume, reducing the shadow and creating a smoother transition between the lower eyelid and cheek. At Art Ethic Beauty Clinic, the treatment is performed by or under the supervision of an experienced plastic surgeon — the tear trough is one of the more anatomically demanding injection zones, as incorrect depth or volume can create visible swelling (the Tyndall effect, a bluish discolouration from superficially placed filler) or inadvertent compression of small vessels. A topical or infiltrated local anaesthetic is applied before injection to ensure patient comfort throughout the approximately 30-minute session. The filler is injected in small aliquots using either a fine cannula (blunt-tipped for gentler tissue passage) or a needle, placed at the periosteal level beneath the orbicularis muscle. The effect is immediately visible: the hollow fills, the shadow lightens, and the overall appearance of fatigue is reduced. Results typically last 8–12 months. Duration is shortened by factors that accelerate filler resorption — smoking, high alcohol consumption, and significant sun exposure — and the surgeon provides lifestyle guidance at the consultation. On the day of treatment, patients should avoid caffeine, alcohol, intense physical exercise, and heat exposure (sauna, hot showers) which increase vascular flow and swelling risk. Tear-trough filler is a non-permanent treatment; the hyaluronic acid is gradually broken down by the body's natural hyaluronidase enzyme. The product can also be dissolved using injectable hyaluronidase if a patient is dissatisfied with the result, which provides a reversibility advantage over fat grafting in this delicate area.