How to Fix Hollow Under Eyes in Mayfair: Expert Solutions
If your under eyes look hollow, tired or sunken no matter how much you sleep, you are not alone. Many women across Mayfair, St James’s and Central London come to Alcove Aesthetics wanting to look fresher without looking “done”. The most effective way to fix hollow under eyes is usually a tailored combination of advanced, doctor-led treatments that restore lost volume, improve skin quality and support the delicate under eye area over time.
At Alcove Aesthetics by Dr Goziem, a luxury facial aesthetics clinic on Pall Mall near Mayfair, hollow under eyes are treated using a precise, medical approach. After a detailed assessment, options may include subtle dermal filler in carefully selected areas, regenerative therapies such as polynucleotides, PRP or exosomes, and skin quality treatments like skin boosters or microneedling. Every plan is personalised to your anatomy, skin and lifestyle, with a strong focus on looking natural in all lights.
All treatments are performed by Dr Goziem Onuchukwu, BDS, MSc (Aesthetic Medicine), an award-winning, GDC registered dentist with over 7 years of experience and more than 1,000 patients treated. If you live or work in Mayfair, Westminster, Belgravia or the surrounding Central London areas, you can access discreet, expert care just moments away at 120 Pall Mall, London SW1Y 5EA.
Introduction: Why hollow under eyes are so difficult to fix
Hollow under eyes, sometimes called tear troughs, occur when there is a visible groove or dip under the lower eyelid. This can be due to genetics, fat loss, bone changes with age, thin skin, or a combination of all four. The result is a shadowed, tired look that make-up and eye creams rarely solve.
Most of our patients are women in their 30s, 40s and 50s who tell us they are repeatedly asked if they are tired or stressed. They often worry about looking overfilled or “puffy” and want very natural results that simply make them look well-rested and confident again.
A doctor-led approach is essential. The under eye is one of the most delicate, high-risk areas of the face. At Alcove Aesthetics, we use a full-face assessment, advanced anatomy knowledge and regenerative medicine to address the true cause of the hollows, not just mask them.
What It Is & How It Works
Fixing hollow under eyes effectively starts with understanding the cause in your specific case. During your consultation, Dr Goziem considers:
- Bone structure and mid-face support
- Position and volume of the cheek fat pads
- Quality and thickness of the under eye skin
- Presence of pigmentation, fine lines or fluid (bags)
From there, a bespoke plan may combine the following medical treatments:
1. Structural support with dermal fillers
In many patients, under eye hollows are caused less by the eye itself and more by loss of support in the mid-face and cheek. By restoring subtle volume with Dermal Fillers in strategic areas, the under eye can look smoother and less shadowed without directly overfilling the tear trough.
High-quality hyaluronic acid fillers are used to:
- Gently lift the mid-face
- Support the tear trough from below
- Blend the cheek and under eye for a softer transition
The goal is millimetre-level precision, not dramatic volume. Results are immediate, with continued settling over 1 to 2 weeks.
2. Regenerative treatments for skin quality
Where hollows are emphasised by thin, crepey or dull under eye skin, regenerative options can be transformative:
- Polynucleotides help stimulate tissue repair, hydration and collagen production, improving skin density and elasticity in the tear trough area.
- PRP (platelet-rich plasma) uses your own blood’s growth factors to support collagen, microcirculation and skin health.
- Exosomes are plant-derived vesicles applied via microneedling that carry signalling molecules to encourage skin regeneration and calm inflammation.
These therapies work gradually, often over several sessions, to strengthen the delicate skin so that hollows appear softer and less stark, even without heavy make-up.
3. Skin boosters and microneedling
For fine lines and surface texture, injectible Skin Boosters around the eye and cheek can deeply hydrate and improve firmness. They do not add bulk like fillers but improve light reflection and smoothness.
Microneedling can be used to stimulate collagen and create micro-channels for exosomes or other active ingredients, further enhancing skin quality and resilience in the under eye and mid-face.
4. Holistic facial balancing
Sometimes, addressing the under eye alone is not enough. Subtle adjustment of the brow position using Botox, or smoothing surrounding lines, can make the whole eye area look more open and rested. Treatment is always conservative and tailored to your unique features.
Benefits & Results
Patients choosing a doctor-led under eye rejuvenation plan at our Mayfair-adjacent clinic typically experience:
Softer hollows
Reduced depth of the tear trough
Less visible transition between eyelid and cheek
Fresher, less tired appearance
Reduced shadowing and darkness from hollows
Eyes look more awake without changing your natural character
Improved skin quality
Plumper, more hydrated under eye skin
Fewer fine lines and crepiness over time
Natural, undetectable results
No obvious “filler look” or puffiness
Harmony with your existing features, in motion and at rest
Doctor-led safety
Full-face assessment and advanced anatomy knowledge
Treatments and follow-ups with the same experienced clinician
Results duration depends on the chosen treatments. Fillers often last 9 to 18 months in this area, while regenerative treatments can build more gradual, long-term improvements in skin quality.
Why Choose Alcove Aesthetics
Choosing where to treat hollow under eyes in Central London is as important as choosing the treatment itself. At Alcove Aesthetics by Dr Goziem, you benefit from:
Doctor-led expertise
All procedures are performed by Dr Goziem Onuchukwu, BDS, MSc (Aesthetic Medicine), GDC registered dentist.
Over 7 years of aesthetic experience and more than 1,000 patients treated.
Award-winning care
Best Anti-Ageing Practitioner (Central London 2024 & 2025).
Skin Aesthetics Specialist of the Year (2025).
Precision and natural results
Conservative, bespoke dosing to avoid overfilling.
Careful evaluation of bone, fat and skin for subtle, lasting results.
Prime Central London location
Discreet luxury setting at 120 Pall Mall, a short walk from Mayfair, St James’s and Westminster.
Evening appointments available Monday to Friday, 10:00 to 19:00.
Comprehensive aftercare
Structured review and follow-up appointments.
Direct access to your treating doctor for questions and reassurance.
Treatment Journey
Your under eye rejuvenation at this Mayfair-adjacent aesthetic clinic follows a clear, calm process:
1. In-depth consultation
Your journey begins with a medical consultation with Dr Goziem. This includes:
- Detailed medical history and discussion of your concerns
- Full-face assessment, photographs and analysis of bone, fat and skin
- Honest discussion of what is achievable and which treatments are suitable
You will receive a personalised plan, including staged treatment options if preferred.
2. Treatment day
On the day of treatment:
- Your under eye and mid-face are carefully cleaned, mapped and photographed.
- Topical numbing cream may be applied for comfort, depending on the procedure.
- Filler treatments are typically carried out using a fine cannula or needle, with slow, precise placement to minimise risk and bruising.
- Regenerative treatments such as PRP or exosomes are prepared fresh and applied via targeted injections or microneedling to the under eye and surrounding areas.
Most procedures take 30 to 60 minutes, and you can usually return to light daily activities immediately.
3. Review and maintenance
You will be invited for a follow-up to assess your results, typically 2 to 4 weeks later. At this stage, minor refinements can be made if needed, and your longer-term plan for maintenance and skin health will be discussed.
Follow-ups are an integral part of your care at Alcove Aesthetics, ensuring your outcome looks fresh, balanced and natural over time.
Recovery & Aftercare
Downtime for under eye treatments is usually minimal, though this varies by individual and procedure. You may experience:
- Mild swelling or redness for 24 to 72 hours
- Occasional bruising, resolving over several days
- Temporary tenderness or a feeling of fullness
You will receive clear written aftercare instructions, which may include:
- Avoiding heavy exercise, heat and alcohol for 24 to 48 hours
- Keeping the area clean and makeup-free immediately after treatment
- Sleeping with your head elevated the first night
Initial results with fillers are visible straight away, with optimal settling at around 2 weeks. Regenerative treatments such as polynucleotides, PRP or exosomes usually show gradual improvement over 4 to 12 weeks as collagen and skin quality build.
Cost & Transparency
At Alcove Aesthetics, pricing is transparent and tailored to the specific treatments required to address your hollow under eyes:
- Dermal filler packages from £650 for 2 ml (Precision)
- Polynucleotides from £330 per session
- PRP from £350 per session
- Exosomes from £450 per session
- Skin Boosters from £250 per session
Many under eye plans combine more than one approach to achieve the most natural, long-lasting result. You will receive a detailed quote during your consultation before any treatment is carried out.
A £50 booking fee is required to secure your appointment. This is redeemable against treatment and subject to a 48-hour reschedule policy. Individual results vary, and suitability is always confirmed after a full medical consultation with Dr Goziem.
Frequently Asked Questions
Are under eye treatments safe?
When performed by an experienced medical professional with advanced anatomy knowledge, under eye treatments can be safe and effective. However, the tear trough is a high-risk area that should never be treated casually or by non-medical injectors. At Alcove Aesthetics, all treatments are doctor-administered, with careful product selection, sterile technique and detailed aftercare instructions to minimise risk.
Will I look overfilled or “puffy”?
The aim is always to make you look like yourself on a good, well-rested day. Dr Goziem uses conservative volumes, subtle placement and often supports the mid-face instead of directly loading the tear trough. This approach helps avoid the “puffy” look and gives a natural, blended result that moves with your expressions.
Does it hurt?
Most patients describe the procedures as mildly uncomfortable rather than painful. Topical numbing cream and products containing local anaesthetic help keep you comfortable. Treatments are performed gently and unhurriedly, with time taken to ensure you feel at ease throughout.
How long do results last?
Longevity depends on the treatment. Tear trough and mid-face fillers often last 9 to 18 months due to the low-movement area. Regenerative treatments such as polynucleotides, PRP and exosomes work more gradually but can improve skin quality for many months, especially when combined with good skincare and lifestyle habits. Maintenance schedules are personalised during your follow-ups.
Am I suitable for under eye filler?
Not everyone with hollow under eyes is suitable for filler directly in the tear trough. If you have significant bags, very thin skin, or certain medical conditions, alternative approaches may be recommended. During your consultation, Dr Goziem will examine your anatomy, discuss your medical history and only recommend treatments that are safe and appropriate for you. Sometimes a staged plan focusing on skin quality first provides the best result.
To discuss the most appropriate way to treat your hollow under eyes and restore a fresher, rested appearance, you can arrange a consultation at our doctor-led facial aesthetics clinic in Central London. To book your personalised consultation with Dr Goziem Onuchukwu at Alcove Aesthetics, Pall Mall, London, call 07856962248 or book online at alcoveaesthetics.com/appointments.
