22/03/2026
Why I No Longer Offer Tear Trough Filler
A treatment Ive offered for several years but now choose to leave behind for several reasons.
Over time, both research and real clinical outcomes have shown this treatment doesn’t always behave as predictably as we once believed.
I’ve seen, and the evidence supports issues such as:
⚪️Persistent under-eye swelling
⚪️Filler sitting visibly under thin skin
⚪️Migration and long-term puffiness
⚪️Filler hanging around much longer than expected
Even with good technique, it often comes down to anatomy — not skill.
The truth is, very few patients are ideal candidates. Many concerns in this area are linked to fat pads, fluid retention, or skin laxity — where filler can actually make things worse.
While results can look fantastic initially, studies show complications often develop months, even years after treatment.
As a Nurse Prescriber, my role isn’t just to deliver results to my patients — it’s to protect them long-term. That means knowing what treatments are appropriate for my patients.
I now focus on safer, evidence-based treatments that improve skin quality and support the delicate under-eye area.
My priority is and always will be long-term results over quick fixes. And this can mean walking away from a treatment which no longer alignes with my practice.
I hope this helps
Thanks
Dionne
👩🏻⚕️Nurse Practitioner Lead Aesthetic Clinic
📍Front Street, Cleadon Village
📩 [email protected]
