Dark under‑eye circles are one of the most common concerns we see at a facial aesthetics clinic London clients choose when they want to look refreshed without appearing “done”. If you struggle with hollowness, shadowing or tired‑looking eyes, understanding the difference between tear trough filler and PRP can help you choose the right treatment in Central London.
At Alcove Aesthetics by Dr Goziem, a doctor‑led luxury clinic in Mayfair at 120 Pall Mall, we combine expertise, science and precision to help clients achieve natural rejuvenation. In this post we explain how each treatment works, key benefits and which might be best for your individual concerns.
Why Under‑Eye Dark Circles Happen
Many factors contribute to dark circles. Common causes include:
- Volume loss beneath the eyes causing hollows and shadows
- Thin skin that shows underlying blood vessels
- Pigmentation due to genetics or sun exposure
- Poor sleep, stress and lifestyle
- Age‑related collagen decline
Because there are different causes, one treatment does not fit all. Some people benefit more from restoring volume, while others see more improvement from stimulating natural healing.
What Tear Trough Filler Is and How It Works
Tear trough filler is a targeted dermal filler treatment designed to restore lost volume under the eyes. The tear trough is the groove that runs from the inner corner of your eye toward your cheek. When this area loses fat or collagen with age, it can create deep shadows that look like dark circles.
At Alcove Aesthetics by Dr Goziem, tear trough injections are performed by Dr Goziem Onuchukwu — BDS, MSc (Aesthetic Medicine) and a GDC registered dentist with 7+ years’ experience treating 1,000+ patients. Precision placement is essential here to avoid lumps, detectable filler or puffiness.
How Tear Trough Filler Works
- Candidacy Assessment – Dr Goziem assesses skin quality, anatomy and volume loss at consultation.
- Gentle Numbing – Topical anaesthetic or local anaesthetic is used for comfort.
- Precise Filler Placement – A specialised hyaluronic acid filler is placed under the skin to lift and smooth the hollow.
- Moulding – Gentle massage and technique ensures natural blending with cheek contours.
Hyaluronic acid attracts and holds water, helping the under‑eye area look fuller and less shadowed. The effect can last 9–12 months or more depending on metabolism and lifestyle.
What PRP Is and How It Works
PRP (platelet rich plasma) uses your own blood to rejuvenate tissues. A small sample of your blood is taken and spun in a centrifuge to concentrate healing platelets. The resulting PRP is injected into the under‑eye skin to:
- Stimulate collagen and elastin production
- Improve skin thickness and tone
- Enhance circulation
- Reduce pigmentation and fine lines
PRP works through your body’s natural healing response rather than adding volume. Because it is your own blood cells, the risk of allergic reaction is extremely low.
At Alcove Aesthetics, we often use PRP alone or in combination with other treatments when subtle improvement in skin quality rather than volume correction is the main goal.
Head‑to‑Head: Tear Trough Filler vs PRP
| Feature | Tear Trough Filler | PRP |
|---|---|---|
| Best for | Volume loss and hollowness | Skin quality, texture, mild lines |
| Mechanism | Adds hyaluronic acid gel under skin | Stimulates collagen via platelets |
| Onset of Results | Immediate with refinement | Gradual over 4‑6 weeks |
| Duration | ~9‑12+ months | ~3‑6 months with courses |
| Natural Look | Natural when placed expertly | Very natural as no foreign substance |
| Downtime | Mild swelling/bruising possible | Minimal swelling/bruising possible |
| Pigmentation | Limited effect | Can help improve tone over time |
In summary:
- If hollowness or structural shadowing is the main issue, tear trough filler is often more effective.
- If you have mild dark circles due to thin skin, dullness or fine lines, PRP may be the better choice.
At your consultation Dr Goziem will advise whether one treatment alone, or a combination approach, is ideal.
Benefits of Each Treatment
Tear Trough Filler
- Reduces hollows and shadows under eyes
- Immediate improvement in contour
- Minimal discomfort with anaesthesia
- Long‑lasting results
- Can be combined with cheek enhancement for balanced support
PRP
- Improves skin texture and tone
- Encourages natural collagen formation
- Uses your own blood – very low risk
- Subtle refresh without filler
- Can improve fine lines and pigmentation
Some patients also combine other treatments to support under‑eye results. For instance, we often recommend a course of Polynucleotides to enhance skin regeneration, or consider Sculptra for deeper structural support in ageing cheeks that contribute to under‑eye shadowing.
Why Choose Alcove Aesthetics by Dr Goziem
Choosing where you have treatment matters. At Alcove Aesthetics in Mayfair, London, you benefit from:
- Doctor‑led treatments – All procedures are performed by Dr Goziem Onuchukwu, an award‑winning practitioner with advanced training in aesthetic medicine.
- Luxury, discreet setting in Pall Mall, central to Mayfair, St James’s and Westminster.
- 7+ years’ expertise treating over 1,000 patients safely and effectively.
- Award recognition including Best Anti‑Ageing Practitioner (Central London 2024 & 2025) and Skin Aesthetics Specialist of the Year (2025).
- Personalised care – Every plan is tailored to your anatomy, goals and lifestyle.
- Aftercare and follow‑ups provided for all treatments.
Our emphasis is on natural results, precision technique and patient comfort — never look overdone or artificial.
What to Expect: Treatment Journey
Consultation
Your journey begins with a detailed consultation with Dr Goziem. He reviews your concerns, medical history and expectations. Photographs and a bespoke plan are offered based on your anatomy and goals.
Treatment Session
- Tear Trough Filler takes about 20–30 minutes.
- PRP takes around 30–45 minutes including blood processing.
Topical anaesthetic or local block ensures comfort.
Aftercare & Follow‑Ups
Light swelling or bruising can occur with either treatment. We provide clear aftercare guidance and arrange follow‑ups to assess progress and address any concerns. Follow‑ups are included, and we support you every step of the way.
Recovery and Aftercare
Both tear trough filler and PRP have minimal downtime:
- Avoid strenuous exercise for 24–48 hours
- Sleep slightly elevated on treatment night
- Avoid alcohol for 24 hours
- Be gentle around the treated area
With PRP, results build over time as collagen forms. With filler, you will see a noticeable improvement right away, with optimal smoothness after settling.
Your clinician will tailor aftercare advice to suit your lifestyle and needs.
Cost and Transparency
At Alcove Aesthetics, we believe in clear pricing and personalised treatment planning. During your consultation Dr Goziem will confirm the best approach and cost based on your goals.
Investing in the right under‑eye solution can transform how rested you look and feel.
Frequently Asked Questions
Is tear trough filler safe?
Yes. When performed by a medically qualified injector with expertise in anatomy, the treatment is safe. Your consultation includes full medical assessment.
Does PRP hurt?
Most clients describe PRP as a mild sensation. Topical numbing can be used.
Can I combine tear trough filler and PRP?
Yes. Many patients benefit from volume correction and skin quality enhancement together. Dr Goziem will advise the ideal sequence.
When will I see results?
Filler results are immediate, with refinement in a few days. PRP results appear gradually over 4‑6 weeks.
Who is suitable for these treatments?
Suitability depends on anatomy, expectations and medical history. A personalised consultation is essential to determine the best option.
To book your personalised consultation with Dr Goziem Onuchukwu at Alcove Aesthetics, Pall Mall, London, call 07856962248 or book online at alcoveaesthetics.com/appointments. Individual results may vary and a full consultation is required to determine suitability.
