Arrugas y expresión
Volumen y contorno
Diagnóstico
Tratamientos médicos
Micropigmentación capilar
Regeneración y volumen
Otros tratamientos
Medicina estética íntima
Cirugía menor
Wrinkles and expression
Volume and contour
Diagnosis
Medical treatments
Scalp micropigmentation
Aesthetic
Regeneration and volume
Other treatments
Intimate aesthetic medicine
Minor surgery
— Facial treatment · Barcelona
Dr. Bermejo Pérez · Reg. no. 63226
One of the most technically demanding areas in aesthetic medicine. The tear trough calls for judgement, precision and conservative doses. The result should read as rested — not as treated.
In short
Tear trough filler with hyaluronic acid softens the hollow and shadow under the eye, placed with a cannula. A 30–45 minute session, minimal downtime and results lasting 9–12 months. Price: €280 for the first syringe and €140 for each additional one. Treatment is performed by Dr. Rubén Bermejo Pérez, a registered aesthetic physician (COMB no. 63226), at Clínica Sagrada Família, Barcelona.
Dr. Bermejo explains why under-eye filler should look rested, never treated — and which dark circles don't benefit from it.
Medical judgement
“The best under-eye result is the one nobody notices. You should look rested — not treated.”Dr. Rubén Bermejo Pérez
Anatomy · Tear trough filler
Replace what's missing, without overdoing it.
The hollow between the lower eyelid and the cheek that makes you look tired.
They lose support over the years: a dark circle isn't always just a hollow.
The filler is placed deep with a cannula so it doesn't show.
Not every dark circle benefits: if it is pigmented or vascular, filler can make it worse. That's why it is assessed first.
What it treats
Dark circles have two causes: the shadow cast by the hollow and pigmentation of the skin. Filler works on the shadow by lifting the tissue and reducing the hollow — it doesn't treat pigmentation directly, but the visual effect is significant and reads as rest.
Over the years the fat around the eye shifts downwards, creating a hollow along the tear trough. Filling it restores the natural transition between the lower eyelid and the cheekbone, removing the tired look without touching the most visible area directly.
Some people have an under-eye hollow of genetic origin, unrelated to ageing. Filler is the most effective solution here, especially in younger patients with flat cheekbones and a hollow that has always been marked.
The under-eye area and the cheek belong to the same facial compartment. Often treating the under-eye alone isn't enough — we assess whether the cheek also needs volume for a natural, lasting transition between both areas.
The practical side
Everything you need to know before your consultation. No small print.
It varies with metabolism and the amount of product. The thin under-eye skin breaks down hyaluronic acid slightly faster.
Including the initial assessment and marking the injection points.
Possible bruising or mild swelling for 24–72 h. You can wear make-up the next day.
€280 first syringe · €140 each additional syringe. The number of syringes depends on how much product each side needs.
Who it's for
Not sure if it's for you? That is exactly what the consultation is for: I'll tell you honestly what I see.
Free first visit · no commitment
In the consultation we look at the proportions of your face, talk about what you want and set the goals together. If you don't need treatment, I'll tell you that too.
Frequently asked questions
Straight answers about tear trough filler. If your question isn't here, write to me.
The first syringe costs €280 and each additional one €140. The number of syringes depends on how much product each side needs. The first consultation is free. You can see all fees on the prices page.
Usually 9–12 months. It varies with metabolism and the amount of product; the thin under-eye skin breaks down hyaluronic acid slightly faster.
At Clínica Sagrada Família, C/ Torras i Pujalt 1 (3rd floor), Barcelona. It is performed personally by Dr. Rubén Bermejo Pérez, registered physician no. 63226.
Discomfort is minimal. We apply numbing cream beforehand. The under-eye area is delicate but tolerable — most people describe a light pressure without sharp pain.
The final result is visible after 7–14 days, once the initial swelling settles. For the first 48–72 hours there may be some swelling or a light bruise — this is completely normal and temporary.
With the right technique and amount, no. The aim is for you to look rested — not for anyone to spot a treatment. The under-eye area is where I most often see overdone results from too much product. That's why I always start very conservatively.
A bluish tint that appears when hyaluronic acid is placed too superficially in the thin under-eye skin. It is the most common complication in inexperienced hands. It is avoided by working in deep planes with a cannula. If it happens, it is resolved with hyaluronidase.
Yes. Hyaluronic acid can be dissolved with hyaluronidase if the result isn't what you expected or the Tyndall effect appears. Under the eyes this is especially important — it can always be corrected.
No. Filler works for structural dark circles — caused by a hollow. It doesn't work for purely pigmented dark circles, where the issue is skin colour. The assessment tells us whether you're a good candidate and avoids ineffective treatment.
Before: if possible, avoid blood-thinning painkillers and supplements such as ibuprofen or omega-3 for 3–4 days. After: don't rub or press the area, and avoid intense exercise and heat for the first 24 hours. Sleeping on your back for the first few days helps reduce swelling.
Free consultation
First visit with no commitment. There is always an assessment first; if the treatment is right for you, it can be done the same day.
In Sant Gervasi, next to Ronda del General Mitre. It is not in the area around the Sagrada Família basilica.