By Dr. Raja, Derma Aesthetics London
Are you someone who struggles with dark circles or under eye hollows? Is this making you look more tired? Don’t worry you are not alone.
The delicate skin in the under eye area is one of the first places we show the visible signs of ageing. This includes volume loss and uneven skin texture.
You may have tried every under eye cream there is and seen no results. This is where the power of cosmetic treatments come into play to help you achieve a more youthful appearance.
Two of the most popular options for under eye concerns are – tear trough fillers and Polynucleotides. Both of these under eye treatments can improve skin quality and stimulate collagen production. This results in a brighter and firmer under eye area.
But which is the most suitable treatment option for you – Polynucleotide treatment or tear trough filler? We will break down each of these treatments, so you can decide which is the right one for your needs.
If you want to speak to one of our medical experts in person about your under eye concerns, please get in touch below to book an initial appointment.

Tear trough fillers vs Polynucleotides – which treatment is the best?
Tear trough fillers – for instant volume and to reduce dark circles
You have probably heard of dermal fillers for the lips or cheeks, well tear trough fillers are a type of dermal filler that is specifically designed for the under eye area (tear trough area).
Tear trough fillers are mostly made of hyaluronic acid. This is a natural substance found in the skin that boosts skin hydration and helps to keep the skin looking plump.
Tear trough treatment using dermal fillers targets under eye hollows by adding volume to the under eye skin. By restoring volume in the tear trough area, we are also helping to reduce the appearance of dark circles.
How does tear trough filler work?
Tear trough filler treatment involves using a very fine needle or cannula to inject a small amount of hyaluronic acid fillers into the tear trough area. This reduces the risk of bruising and allows for even distribution of the filler.
To make the treatment more comfortable, your doctor will apply a numbing cream to the under eye skin first.
The dermal filler will instantly add volume to the tear trough area and make the skin look smoother and brighter. As the tear trough filler settles you will look more fresh and awake.
Tear trough filler results
You will only need one session of tear trough filler to see immediate results. However, you do need to give the dermal fillers two weeks to fully settle before seeing your final result.
Tear trough fillers offer full under eye rejuvenation, which includes:
· More even skin texture and skin tone
· Improved under skin hydration
· Less lines and wrinkles around the eyes
· Plump under eye hollows and smoother skin
Tear trough fillers provide a quick and effective way to freshen up your under eye area with natural-looking results.
They are suitable for most people, but we do need to assess your skin condition, medical history and lifestyle habits before we proceed with treatment.
Polynucleotide treatment for long-term skin rejuvenation
Polynucleotides are a popular injectable treatment that focus on skin regeneration. Unlike tear trough filler, they go beyond filling volume loss in the under eye skin and instead focus on helping to stimulate natural collagen production.
Polynucleotide treatment uses the power of Salmon DNA, which is similar to human DNA. It is known for its anti-inflammatory properties and its ability to promote tissue repair.
We use Polynucleotide treatment to target a number of skin concerns. These include dark circles, acne scars and fine lines and wrinkles.
They do not produce instant results like tear trough fillers do. This is because collagen and elastin production occurs over the first few months after your treatment.
So, unlike fillers, Polynucleotides can provide longer-lasting results that continue to improve over time.
How do Polynucleotides work?
The treatment involves our doctor making a series of small injections in the under eye area using a very fine needle.
We can tailor the depth of the needle to target different skin concerns. We do not have to inject Polynucleotides as deep as tear trough fillers as they are not adding volume, but rather encouraging new collagen production.
When our doctors injects them into the delicate skin under the eyes, they start to work on a cellular level. More specifically, they kick-start collagen and elastin production in the skin.
Like tear trough fillers, Polynucleotides are a fairly comfortable treatment. We will use a numbing cream in the treatment area first.
Polynucleotide treatment should take no longer than 45 minutes to complete and there is minimal downtime afterwards.
Polynucleotide results
Many patients see improved skin texture and skin tone after one treatment. However, to see improved skin elasticity and overall skin quality over time, you may need more than one treatment session.
Following your Polynucleotide treatment, you will continue to see your skin health improve, including:
· Firmer under eye skin from new collagen production
· Better skin hydration and tissue repair
· Less lines and wrinkles around the eyes
· A more youthful appearance
Which under eye treatment is right for you?
To decide which under eye treatment is best, we need to understand what your primary concern is and what desired outcomes you want to achieve.
Here is a quick guide to help you decision:
· To address under eye hollows and volume loss – tear trough fillers
· To improve skin texture, skin health and skin quality – Polynucleotides
· For immediate results – tear trough fillers
· For long-term skin rejuvenation – Polynucleotides
· For natural collagen and elastin production – Polynucleotides
· To reduce dark circles – both tear trough filler and Polynucleotides
Both of these under eye treatments come with minimal risk and work on most skin types. For some patients a combination of both treatments may produce the best results.
Book your under eye treatment consultation today
Whether you are looking to add volume to hollow under eyes or reduce dark circles, our expert team can help.
We ensure every patient gets an in-depth consultation, so that we can assess their skin type, goals and medical history. This enables us to plan a tailored treatment plan that will suit your needs.
Book now and take the first step towards a brighter and younger-looking eye area.