TEAR TROUgH FILLER

Tear troughs are semi-circular creases/depressions which start at the nose and run along the bottom of the lower eyelid just above the cheekbone. These depressions can produce the illusion of darkening around the eyes resulting in ‘dark circles’ or ‘tired eyes.

As we age, the eyelid above and the cheek below begin to sag. However, the depression cannot sag with the rest of the facial skin due to its ligamentous attachment to the bone of the eye socket. This results in the depression deepening and the shadow and dark circle becoming more noticeable.

This is a revolutionary technique invented and perfected by Dr Bong. He formulated this technique with one of the world’s best dermal fillers for this area – Teosyal Redensity II [eye].

A blunt-tip device (called micro-cannula) is used to administer the filler in the tear trough area to soften the appearance of the hollowness, eye bags and dark circles. The Two-Point Eye Lift™ technique, coupled with the use of the blunt-tipped cannula and Redensity II [eye], help minimise side effects and complications commonly associated with treatment in this area.

Dr Bong owns the trademark for this technique and is the ONLY person who can teach this technique. This technique is internationally recognised as one of the most effective and safest and is widely used in over 40 countries.

The filler is injected with a blunt-tipped instrument under the skin surface along the line of the hollow. The revolutionary Two-Point Eye Lift ™ technique – invented and perfected by Dr Bong – means the procedure is very safe, and the result is excellent with no downtime. Furthermore, no anaesthetic cream is required due to the use of the blunt needle and Dr Bong’s expertise.

All dermal filler products used at Essence Medical Cosmetic Clinic contain pain-reducing lidocaine (local anaesthetic) for a comfortable treatment experience. The Two-Point Eye Lift™Treatment can be completed in as little as 15 minutes. Results can be seen instantly and do not affect facial expressions.

Not at all. Dr Bong prides himself on his innovative approach to advanced non-surgical facial treatments. He is well known for his unique methods of achieving beautiful yet natural results with minimal pain and downtime.

90% of our patients do not require any form of an anaesthetic agent at all, and they describe this procedure as less uncomfortable than getting a vaccine or having a blood sample taken from your arm. To provide further relief and alleviate as much pain as possible, we use only premium, industry-leading soft tissue fillers which contain a pre-mixed anaesthetic agent.

While traditionally, soft tissue fillers have always been injected using sharp-tip needles, a new alternative to using needles is using blunt-tipped cannulas. Although there is a role for both injection methods, the cannula offers some excellent benefits to patients.

1. Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas push aside any arteries and veins encountered beneath the skin, there is a reduced risk of bleeding and bruising.
2. Sharp tip needles use a very thin, short, sharp needle to inject dermal fillers. Multiple injection points are required when using needles, which can increase the risk of hitting a vein. If a vein is hit with a needle, there is a higher chance of bruising after the procedure.
3. Sharp tip needles may also result in trauma to the skin, causing swelling.

Advantages of blunt-tipped cannulas
Cannulas have a hollow bore, like needles, allowing the filler to pass through into the tissue. However, cannulas have a rounded, blunt end instead of sharp tip-like needles. It is a bit like a long needle, but the tip is blunt. The process involves numbing the skin with ice and injecting a small amount of local anaesthetic beneath the skin with a tiny needle. When the skin is numb, a needle is used to pierce the skin, and then the cannula is threaded into the puncture site, sliding along the natural planes of tissue, providing access to a large area for filler placement.

1. Less Pain During Treatment – Being injected multiple times with sharp needles can be painful. Still, while it may sound a bit uncomfortable to have a cannula beneath your skin, there is minimal discomfort. Patients often note that they experience a strange “pushing and tugging” feeling, but there is very little pain. Fewer pokes with needles also reduce the amount of pain, even when multiple areas of the face are being treated.
2. Decreased Risk of Bleeding and Bruising – Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas push aside any arteries and veins encountered beneath the skin, there’s a reduced risk of bleeding and bruising.
3. A Safer Option – When using needles for filler injections, one of the scariest potential complications is accidentally injecting filler into an artery, which can cause tissue death. In extremely rare cases, blindness has occurred. Cannulas do not pierce arteries, offering a much safer option for patients.
4. Minimal Downtime – Since needle-injected fillers can cause swelling and bruising after the procedure, they often have some social downtime. Since the cannula injection method cuts down on swelling and bruising, there is minimal downtime post-procedure.
5. Precision – With blunt-tipped cannulas, fillers can be injected more accurately, reducing the amount of filler needed to achieve the desired results.
6. Greater Flexibility – A much larger surface area can be treated with just a single injection site when using the cannula method, making it possible to get more done with fewer injection points.

The results of the Two-Point Eye Lift™ technique are noticeable instantly. After the treatment, the treated area may be slightly red. However, you can resume normal activities, drive home, or return to work immediately after the treatment. Unlike other generic dermal fillers, premium soft tissue filler formulated exclusively for tear trough rejuvenation, and Dr Bong’s revolutionary technique – the Two-Point Eye Lift™ – ensures excellent results with no downtime.

One of the significant advantages of the products we use at Essence Medical is that the effects are long-lasting but not permanent. Therefore you are always in control of your looks and can change your treatment depending on ageing. The results typically last 9-12 months, although the exact length of time will depend on the structure of your skin and other factors such as lifestyle, age and the degree of perfection you demand. Additional touch-up treatments can be performed at any time after the initial treatment.

We use the only market-leading product exclusively formulated for the undereye area. Dr Bong’s Two-Point Eye Lift™ technique, coupled with the use of a blunt-tipped instrument, means significant side effects are extremely uncommon but may include:

• Injection-related reactions: These reactions may include redness at the injection site immediately after the treatment.

• Bruising: Occasionally, bruising can occur. However, the use of blunt-tipped instruments dramatically reduces the risk of bruising.

• Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’; however, the filler can be easily and rapidly dissolved if persistent.

• Infection – as with all injections, this procedure risks infection. The syringe is sterile and standard precautions associated with injectable materials are taken.

• Swelling – Unlike generic dermal fillers for tear trough treatment, our choice of premium filler results in only very minimal or no swelling at all.

After your treatment, we will again go through with you any aftercare advice to maximise your treatment benefits and avoid any undesirable side effects. You can resume normal activities, drive home, or return to work immediately after the treatment.

As with any injection, there may be some slight redness immediately afterwards, and camouflage makeup may be applied. However, the results directly after the treatment should not be seen as the final results. This is because the results will gradually improve over the following 2-4 weeks.

For two weeks after the treatment, you are advised to avoid extreme heat (sun bed or sunbathing) or intense cold.

This treatment is unique to each individual, depending upon various factors. Dr Bong is the pioneer of this treatment and is well known for his unique methods of achieving beautiful yet natural results with minimal pain and downtime.

To get an exact costing, please schedule a consultation with Dr Bong for him to design a bespoke treatment approach and address any concerns that you have. Dr Bong will listen to your concerns, examine your muscles carefully, and establish if you are suitable for this treatment. Our terms and conditions can be found here. As a guide, we usually charge £400-£450 for this treatment.

We accept cash or the following major credit and debit cards. We do not accept personal cheques.

If you are a new patient, a booking fee will be taken at the point of making your appointment.  Please read our full terms and conditions here.

We respect that your time is valuable, and we appreciate that you understand ours is too. Unfortunately, if appointments are cancelled or rescheduled at short notice, or if you do not attend an appointment, we cannot allocate your appointment slot to someone else; however, we still have overheads and staff salaries to pay. Please read our full terms and conditions here.

Please note for all patients, a £50 fee will be charged if you cancel or reschedule ANY appointment (including appointments which do not require an upfront deposit, such as a ‘check-up’ or review appointment) less than 48 hours before the appointment time. Patients who have pre-purchased a course of treatment will forfeit one of the treatments instead of paying this fee.

Late arrival to your appointment may result in reduced treatment time or the forfeiting of the appointment. We will endeavour to ensure that your appointment runs on time. However, for reasons beyond our control, we may need to cancel or postpone your appointment at short notice. In this unlikely event, we will try to contact you in advance. We do not offer compensation if we cancel or postpone your appointment.

Please read our full terms and conditions here.

To help our patients minimise the chance of losing their deposit or pre-paid treatments, we issue text reminders a minimum of 48 hours ahead of appointments. Patients should be aware that there may be reasons beyond our control, meaning that the text message does not reach them. Patients should diarise themselves when making follow-up appointments and not rely solely on the text message from the clinic as a reminder.