By John Dixon · 5 November 2026
First, why do your eyes look tired?
Tired-looking eyes have different causes, and the right treatment depends on which one you have. A hollow or groove beneath the eye casts a shadow, which looks like a dark circle. Thin, crepey skin lets the colour underneath show through and wrinkles easily. Often it is a mix of both.
That is why the first step is always an assessment. John will look at your under-eye area in different lights and tell you honestly which option, if any, will help.
Tear trough filler: for hollows and shadows
Tear trough filler uses a soft hyaluronic acid filler, carefully placed, to fill the hollow under the eye so it no longer casts a shadow. When the hollow is the main problem, the change can be quite noticeable straight away.
It suits people with a clear groove and reasonably good skin quality. Tear trough filler at Trusted Touch Aesthetics is £300, and because it is hyaluronic acid it can be dissolved if ever needed.
AMI Eyes: for thin, crepey skin
AMI Eyes is a polynucleotide treatment made specifically for the under-eye area. Rather than adding volume, it helps the skin repair and thicken, which softens crepiness, fine lines and the darkness that shows through thin skin.
Results build gradually over the weeks after treatment, usually across a course of two to three sessions. It is £170 per session, and it is a good choice for people who don't have a deep hollow or who would rather not have filler under the eyes.
Can you have both?
Yes. When there is a hollow and thin skin, improving the skin first with AMI Eyes and then adding a small amount of filler often gives the most natural result. Eye Bella, a skin booster for fine lines around the eyes (£200), is another option John may suggest.
Questions clients ask
- Is under-eye treatment painful?
- Most people find it very tolerable. Numbing cream is used, and the area is treated gently with fine needles or a cannula.
- Is there downtime?
- Some swelling or small bruises are possible for a few days, so avoid booking just before a big event.
- Which lasts longer?
- Tear trough filler typically lasts longer, often around a year. AMI Eyes improves the skin itself, and many people top up once or twice a year.