Eye Area

Under-Eye Rejuvenation

Non-surgical under-eye treatment in Marylebone and St John’s Wood, London, with Dr Toro Ogundoyin, who treats hollowing, shadows, fine lines and pigmentation each with the right tool rather than reaching for filler every time.

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Close view of the delicate skin at the outer corner of the eye

The short answer

What is non-surgical under-eye treatment?

The under-eye is usually the first area to give you away. Bone recedes at the orbital rim, the fat pad that cushioned it slips downward, collagen falls and the skin, already the thinnest on the body, gets thinner still. What you see is a hollow that throws a shadow, and the shadow reads as tired no matter how much you slept.

That hollow has a name, tear trough deformity, and it is only one of the things going on. Pigmentation can mimic hollowing or exaggerate it. Fine lines from squinting add their own texture. Volume loss above the eye can make the whole socket look more skeletal. Treating all of that with filler is the standard mistake, and it is why so many under-eyes end up puffy rather than fresh.

Dr Toro treats the area as a layered problem. What is hollow gets volume, what is pigmented gets regenerative treatment, what is lined gets movement managed, what is lax gets thickened, and skincare holds all of it. Which parts apply to you is what the consultation is for.

Under-eye treatment at a glance

Treatment time30 to 45 minutes
NumbingTopical, plus anaesthetic in the filler
Results visibleImmediately, settling over 2 weeks
Filler lasts12 to 18 months
DowntimeSwelling or bruising for a few days
Before you bookFree 15-minute video call
From£300

Under-eye treatment can help to:

Reduce the shadow of a hollow tear trough

Filler placed in the groove itself lessens the hollow that casts the shadow. Redensity II is used because it is formulated for this area, with hyaluronic acid plus a brightening complex of amino acids, vitamin B6, minerals and antioxidants including glutathione.

Soften dark circles caused by pigment rather than shadow

When the darkness is pigmentation, adding volume does nothing. Polynucleotides encourage healthy cell turnover and calm inflammation, which is the mechanism that actually applies.

Smooth fine lines around the eye

Carefully dosed anti-wrinkle treatment relaxes the specific muscles creasing the skin, which smooths the area and subtly lifts it, while keeping your expression intact.

Thicken skin that has gone thin and crepey

PDO mono threads trigger collagen formation in the skin itself, improving texture and thickness. It is the option for laxity, where adding filler would only make it heavier.

Restore volume above the eye

Loss in the upper socket causes hooding and a more skeletal look. Treating above the eye is often what makes the area below it look right.

Hold the result between treatments

Retinoids for cell renewal and antioxidants against environmental damage and pigment, chosen for your skin rather than bought off a shelf.

What under-eye treatment is used for

Follow any of these to read what causes it and how Dr Toro treats it.

Areas treated

Below the eye

Tear trough
Under-eye hollows
Dark circles
Fine lines

Around the eye

Crow’s feet
Upper socket volume
Lateral brow

2 Locations

Under-eye treatment near you, at either London clinic

UNTIL Marylebone 1 Orchard Street, London W1H 6HJ View location →
Kailash Centre, St John’s Wood 7 Newcourt Street, London NW8 7AA View location →

UNTIL Marylebone View on Google Maps →

Boundaries of practice

What's not treated

Good practice means saying no when indicated:

Pregnancy or breastfeeding
Under 18 years of age
Significant fluid retention or fat prolapse in the lower lid, where filler can worsen the appearance
Active infection, inflammation or eye condition affecting the area
Known allergy to hyaluronic acid products or to lidocaine
Bleeding disorders or anticoagulant treatment, assessed individually

Patient journey

What to expect from under-eye treatment

Consultation & preparation

Avoid aspirin, ibuprofen, fish oil and vitamin E for a week beforehand and alcohol for 24 hours, because this area bruises more readily than most. Come without eye makeup, and do not book within a week of an important event.

During treatment

What is happening to my under-eyes?

The under-eye is one of the first areas to show ageing. Bone loss around the socket, thinning skin, shifting fat pads and reduced collagen combine to create hollowing, shadowing and a tired appearance, which is called tear trough deformity when it is pronounced.

Hyperpigmentation can mimic or exaggerate that hollowness. Volume loss above the eyes causes drooping and a more sunken look. Lifestyle, sun exposure and genetics all influence how early and how fast this happens, which is why two people the same age can look entirely different here.

How does Dr Toro decide what to use?

By working out what is actually causing the appearance. A hollow needs volume; pigment needs regeneration; a dynamic line needs movement managed; lax skin needs thickening. Most under-eyes are some combination, which is why a single-treatment approach so often disappoints.

The plan usually layers two or three of these over a few appointments rather than doing everything at once, so each change can be assessed before the next is added.

Is the under-eye area riskier than the rest of the face?

It is less forgiving. The skin is thin, the anatomy is close to important structures, and a small error shows immediately. That is the argument for having it done by a doctor who assesses you properly and who uses a product formulated for the area rather than a general filler.

Not everyone is a candidate. Where there is significant fat prolapse, fluid retention or very lax skin, filler can make things look worse, and Dr Toro will tell you that rather than treat you.

What happens afterwards?

Expect some swelling and the possibility of bruising, which is more common here than elsewhere because the tissue is delicate. Sleep with your head raised for the first few nights and keep salt down, as fluid shows quickly in this area.

The result settles over about two weeks, which is when you are reviewed. Filler in the tear trough is long lasting, often 12 to 18 months, because the area moves relatively little.

Aftercare

Sleep with your head raised for a few nights and keep salt intake low, as fluid shows quickly here. Avoid rubbing the area, strenuous exercise, saunas and alcohol for 24 hours. Swelling and bruising are common and settle within a few days to a week. The result is judged at your 2-week review.

Pricing

Under-eye treatment prices in Marylebone and St John’s Wood

Under-eye rejuvenation with dermal filler

From £300

Polynucleotides, under-eyes A course of three is usually recommended; packages available.

From £240

PDO mono threads

From £600

Free video consultation A 15-minute video call to talk through the area before you book anything.

Free

Most under-eye plans combine two approaches over a few appointments rather than one treatment on one day, and the consultation sets out what that costs in total before anything is booked. Prices are reviewed periodically.

Written and medically reviewed by Dr Toro Ogundoyin, Aesthetic Doctor: MBBS, DIP. FSRH · General Medical Council: periorbital treatment planned and carried out by a GMC-registered doctor, with hyaluronidase reversal available.

Real results

Before and after tear trough filler, reducing the under-eye hollow — Tear trough treatment with dermal fillerBefore, and immediately after

Before and after under-eye rejuvenation, reducing hollowing and shadow — Under-eye rejuvenationBefore, above, and after, below

See more results

FAQ

Under-eye treatment questions

Can filler get rid of my dark circles?

Only if the darkness is a shadow cast by a hollow. If it is pigmentation in the skin, or visible blood vessels through thin skin, filler will not change it and may make the area look heavier. Dr Toro works out which one you have first, because the answer decides the treatment.

Is under-eye filler safe?

It is one of the more technically demanding areas and it should be treated as such. Dr Toro is a GMC-registered doctor, uses a filler formulated for this area, and can dissolve hyaluronic acid filler if a result is not right. She will also decline to treat where the anatomy makes a good result unlikely.

How long does under-eye filler last?

Usually 12 to 18 months, longer than most areas, because the tear trough moves relatively little and product there is broken down slowly. Results settle over about two weeks and you are reviewed at that point, which is when any refinement is best judged.

What is the free video consultation?

A 15-minute video call before you commit to anything. It is a chance to describe what bothers you and to hear an honest view on whether this area is treatable for you, without travelling to the clinic first. A full face-to-face consultation still happens before any treatment.

Will I bruise?

The under-eye bruises more readily than most areas because the tissue is delicate and well supplied with blood vessels. Dr Toro uses a cannula where she can, which reduces it. Avoid aspirin, fish oil and alcohol beforehand, sleep with your head raised afterwards, and allow a week before an important event.

Get Started

Book your consultation
with Dr Toro

Dr. Toro Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ • Kailash Centre, 7 Newcourt Street, London NW8 7AA

Book

Consultations are £90 and include a written treatment and skincare plan.