Tear trough filler Liverpool
Tear troughs require real expertise.
You’re in safe hands with Dr MJ
Tear trough treatment is risky. You need someone who knows the anatomy and understands what can go wrong. You need to feel in safe hands.
Ultrasound included as standard · Treatment from £480
“MJ is an absolute magician … I couldn't be happier with the results, I especially love my tear trough filler!”
spi114 · 2021
Look more awake and rested
Dr MJ treats filler complications referred from other clinics. Sadly most of them are for tear trough treatments.
The good news is this treatment is dramatically effective and successful for patients who want to look more rested, awake and fresh. MJ wouldn’t dream of doing this treatment without ultrasound and it’s included in the price.
Individual results vary. MJ will explain what is achievable for your anatomy.
Hollows under your eyes can make you look tired, even when you feel great. Under-eye filler can soften those shadows, smooth the transition to your cheeks and help you look less tired.
You look after yourself and you want your eyes to reflect that. Let’s find out what you need.
What to look for in before and after photographs
Start with eyes that resemble yours. A similar hollow and skin type give you a more useful comparison than an entirely different face.
Good tear trough filler before and after photographs show the area under comparable conditions. Check whether the patient also had cheek treatment and how long after treatment the photograph was taken.
MJ explains what a similar case shows and how it relates to your anatomy. Use the photographs to understand the treatment and discuss the result you want.
Meet Dr MJ
“If you want a glow up, this is where you go. … your face deserves the talent and expertise you’ll get at Smileworks.”
Patient review
“She is precise and offers advice even when this is to opt for a treatment she does not offer to get the best outcome.”
The expertise other practitioners turn to
Dr MJ treats tear troughs. She also treats the complications that bring patients to her from other clinics.
That gives her a detailed understanding of this delicate area: how to assess it, where to place filler and when another treatment will give you a better result.
She teaches facial ultrasound to other clinicians. She runs a dedicated complications referral clinic in Liverpool. And she brings that experience to your treatment from the first consultation.
Ultrasound expertise
She teaches the technique she uses to treat you.
MJ uses ultrasound to guide every tear trough treatment. She also teaches other practitioners how to use it.
Her teaching covers the skills that matter beneath your eyes: recognising tissue layers, locating blood vessels, identifying existing filler and seeing the cannula during treatment.
She has taught ultrasound-guided injections in the cheeks, temples and tear troughs through Clarius, one of the companies making the scanners. GE HealthCare also features her demonstrations of facial anatomy, ultrasound-guided treatment and patient safety.
Through Smileworks HUB, MJ teaches facial ultrasound to clinicians in the UK and overseas. They learn how to interpret scans, guide injections and investigate complications.
Your ultrasound guidance is included in the treatment price. It’s part of MJ’s approach from the start.
Complications experience
When filler goes wrong, other clinicians refer patients to MJ.
MJ runs a dedicated complications referral clinic in Liverpool. Patients travel from across the UK and internationally for her assessment and treatment.
She sees persistent swelling, visible filler, unexplained lumps and problems that have resisted previous treatment. Tear trough complications make up a substantial part of that work.
Ultrasound helps her investigate what’s beneath the skin. She examines the filler, its location and the surrounding anatomy before deciding what to do next.
That experience matters when you’re considering treatment for the first time. It informs the patient selection, product choice and placement behind your result.
MJ’s work has featured on BBC Radio 4. Its File on 4 investigation documented her using ultrasound to locate a blocked vessel and guide dissolving treatment that restored blood flow to a patient’s lips.
Already concerned about filler you’ve had elsewhere?
Visit Dr MJ’s complications clinic for assessment, treatment information and fees.
Teaching and industry
Her expertise reaches beyond her own clinic.
MJ founded Smileworks HUB to teach medical professionals facial aesthetics, ultrasound and complication management.
Her industry work includes teaching and speaking with Clarius, GE HealthCare and Galderma. These relationships connect her clinical experience with the companies developing ultrasound equipment and aesthetic treatments.
Her experience also includes trainer and vigilance-team work with Sinclair Pharmaceuticals, dealing with referred filler incidents. She has taught facial ultrasound through CMAC’s professional education programme.
MJ holds a master’s degree in Aesthetic Medicine with Distinction from Queen Mary University of London. She also holds a postgraduate qualification in Medical Education.
For you, those credentials have a practical purpose. You’re being treated by a clinician who can explain the anatomy, the recommendation and the technique behind it.
In the media
A voice for patient safety
MJ contributes to national media and professional publications on aesthetic treatment and patient safety.
BBC Radio 4 has featured her complications clinic in its investigation into unsafe cosmetic practice. GLAMOUR has sought her advice on skin health. Aesthetic Medicine has featured her teaching on ultrasound and injectable treatments.
The same clarity belongs in your consultation. MJ explains what’s causing the appearance you want to change, what treatment can achieve and how she plans to approach it.
You should understand the recommendation and feel confident in the person making it.
What patients say about Dr MJ
She’s an artist!
Emi
Dr. MJ is a genius
K
She is a true artist
Paula
an absolute genius
Joanne
MJ is extremley talented
Marcelle
Brings a little bit of humour to help ease the situation
Kerry
very talented practitioner
Bianca
What a talent.
Amanda
an absoloute MAGICIAN 🤣💖💖💖
L
MJ is an absolute magician
spi114
she is a total vibe. 🫶
Lucy
a good laugh
Chris
hilariously funny.
Dave
she still managed to make me laugh
Sophie
MJ is lovely.
Kelly
Dr MJ is so lovely
Brandon
so friendly and lovely!
Fiza
She is so lovely
Hannah
This lovely lady made turning 50 bearable!!! 😘😘💕
Laura
A lovely professional lady
Debbie
she gets what I’m after!
Christina
incredibly smart yet humble
Sarah
She’s so professional and skilled
Sarah
a joy to visit.
Sophie
absolutely gorgeous lady 😘
Claire
such a kind person
S
MJ is incredible!! 💗☺️🥰
Ella
MJ is amazing 💋
Tanya
she’s fabulous 😊
Julie
MJ you're amazing!! 🤗
Yvonne
super super awesome... 💛
hannah
just amazing 🤩
Missy
expert knowledge
Laura
you work miracles ☺️
Connie
honest, informative consultation
Lynn
incredibly knowledgeable
Michelle
Is it even your tear troughs?
The shadows bothering you aren't always caused by tear troughs. Hollows, dark circles and bags often get called the same thing. They are different, and they need different treatments. Some people have more than one thing going on. Here's how MJ diagnoses and finds out what to treat.
A tear trough is a hollow
A tear trough is the groove where your lower eyelid meets your cheek. It usually curves outwards from the inner corner of the eye. A deep groove casts a shadow that gives the face a tired appearance.
Some people have had under-eye hollows since childhood. Others notice them as their cheeks lose support with age. You might know the look as sunken eyes.
Tear trough filler restores volume to a suitable hollow. It softens the groove and creates a smoother transition into your cheek.
An eye bag is a bulge
An eye bag projects outwards. Protruding fat creates a bulge. Poor fluid drainage causes puffiness.
These need a different approach from a hollow. Filler adds volume. It doesn't remove fat or drain fluid, and adding it to an already puffy area risks making the fullness worse. Dr MJ sees this a huge amount at her complication clinic.
Some people have a bag beside a hollow. MJ examines both and explains which part needs treatment.
Dark circles describe colour
Dark circles have several causes. Pigmentation colours the skin. A hollow casts a shadow. Thin skin lets colour from the tissue beneath show through.
The cause determines the treatment. Filler treats the hollow behind a shadow. MJ assesses pigmentation separately. She explains the expected changes and the colour that comes from your natural skin.
Lines and crepey skin are about skin quality
Fine lines and crepey skin need attention to the skin itself. Adding volume is a different job.
You don't need to arrive knowing the answer. Tell MJ what bothers you. She'll explain what you're seeing and the treatment options that fit. This is not straightforward and it’s OK to be a little confused. Most practitioners are confused!
Look as rested as you feel
Being asked whether you've slept gets old. Especially when you've had a good night, you feel well and you're ready for the day.
You want your face to reflect that. You want to look fresh in the mirror and recognise the energy you feel inside.
Hyaluronic acid filler is a gel that restores volume. MJ uses it to soften a hollow and blend the lower eyelid into the cheek. The aim is a fresher, more rested appearance that still looks like you.
The initial correction is visible straight away. Swelling affects the early appearance, so the settled result is the one to judge.
A result that belongs on your face
“There is no such thing as a perfect under eye.”
Even a youthful face has some contour between the eye and cheek. That shape is part of your anatomy. MJ works with it to create a softer, more natural transition.
Under-eye skin is exceptionally thin. Colour from the tissue beneath shows through. Putting filler into the wrong layer to cover that colour creates problems instead of solving them.
MJ explains the changes she expects to achieve and the features that belong to your natural anatomy. You leave the consultation with a clear picture of the result you're working towards.
How MJ decides what to treat
A good result starts before the injection. MJ chooses the treatment that fits your anatomy. She then selects the product, amount and placement to achieve the correction.
First she finds the cause
MJ examines the shape beneath your eyes and the condition of your skin. She checks for bags, puffiness and lost cheek support. She asks what you want to change and what treatment you've had before.
Tell her about previous filler, even if it was years ago. A hollow returning is not proof that the old filler has disappeared. That history helps her plan the next step properly.
Then she looks at your cheeks
“My mantra is always cheeks then troughs.”
Your cheeks support the area beneath your eyes. As they lose volume, the gap between cheek and eyelid becomes more obvious. Restoring that support is an important part of treating the whole area.
For patients with lost cheek volume, MJ uses cheek filler to restore support beneath the eye. She then checks how much correction the trough still needs.
This is why MJ assesses your cheeks when you've come asking about your eyes. She shows you how they work together and explains the full treatment cost. Where her plan includes both areas, she treats them together when appropriate.
She chooses the right treatment for your eyes
Some hollows need direct treatment. Other patients need cheek support or a skin treatment. Significant bags call for assessment of whether surgery is the better option.
For some people, MJ's advice is to leave the area alone. Her job is to help you make a good decision. You choose whether to go ahead once you understand the plan.
She watches the result as she works
MJ places filler to soften the hollow while keeping the area light and natural. Ultrasound guides placement. She watches the visible correction and judges when there is enough product.
That judgement is what turns careful placement into a result that suits your face.
Why MJ uses ultrasound
The layers beneath the eye are delicate. A cannula sometimes enters a different layer from the one the injector intended. Relying on feel alone makes that harder to recognise.
With ultrasound-guided tear trough filler, MJ sees the tissue layers, relevant blood vessels and the cannula's position while she works. She uses that information to guide placement.
Ultrasound is her standard for every tear trough filler treatment.
Ultrasound is included
Ultrasound guidance is included in your tear trough treatment fee with MJ. You receive it as part of your treatment, with no separate ultrasound charge.
Assessment and corrective treatment at the complications clinic have their own fees. The team explains those when you book that service.
Technology guided by experience
MJ uses ultrasound alongside her “Mark one eyeball”. The scan shows where she's working. Her eyes show her how the correction looks.
She brings both together with her knowledge of anatomy and her experience treating complications. That informs where she places filler, how much she uses and when she stops.
When comparing clinics, ask how the injector checks placement and manages complications. You deserve clear answers about the care you're choosing.
Why experience matters here
Tear trough treatment is one of the more demanding filler procedures. The skin is thin, the layers are delicate and small differences in placement show.
Choosing the right patient and product matters. So does placing the right amount in the right layer. Getting those decisions wrong causes problems such as visible filler, lumps and persistent swelling.
MJ sees these problems in her complications clinic. She wishes practitioners would perform fewer tear trough treatments if they aren't technically competent to do them.
That experience is valuable when you're choosing treatment for the first time. She understands what goes wrong and brings that knowledge to your assessment and treatment plan.
You get a clinician who takes this area seriously and wants you to enjoy the result for the right reasons.
When tear trough filler has gone wrong
If previous treatment has left you worried, you must come to see MJ at her complications clinic. Tear trough filler complications make up a substantial part of MJ's work. She assesses patients treated elsewhere and receives referrals from other clinics.
Assessment and corrective treatment
She starts by understanding your original anatomy and what has changed. Ultrasound helps her locate filler and examine the surrounding tissues. From there, she explains the problem and the options for addressing it.
“What causes the complications? It’s wrong filler, wrong product, wrong placement, wrong patient, wrong practitioner, wrong everything.”
Tear trough filler migration, persistent swelling and lumps need an individual treatment plan. That includes deciding whether dissolving is appropriate before adding anything else.
Get help with previous treatment
For tear trough filler gone wrong, visit Dr MJ's dedicated complications service. You'll find details of the assessment, treatment options and fees.
Risks and side effects
Bruising, swelling and tenderness are recognised side effects. Other risks include an uneven result, persistent swelling, visible filler, discolouration, lumps and infection. The result can also differ from your expectations.
Rare complications include blocked blood vessels, tissue injury and loss of vision. Experience and ultrasound support careful treatment. They do not eliminate these risks.
MJ explains the risks and alternatives before you decide. You have time to ask questions and understand the treatment you're choosing.
If your vision changes after filler, go to A&E immediately or call 999. Severe or worsening pain or concerning skin colour changes also need urgent medical assessment. Don't wait for a routine review or an online reply. Let your treating clinician know as soon as possible.
Your appointment and beyond
What treatment feels like
The technical work is MJ's job. Your comfort matters too. She uses local anaesthetic to make treatment more comfortable. Pressure and movement are normal sensations during the procedure. Tell her if anything hurts.
Many patients fit treatment around their normal routine. Allow around 60 minutes for your appointment. The team confirms how long your plan needs, particularly when it includes cheek treatment.
Before your appointment
Tell the team about previous filler, medical conditions and medicines. Mention any current concerns around your eyes.
Follow your preparation advice and arrive without make-up over the treatment area where possible. Keep taking prescribed medicines unless your prescribing clinician advises otherwise.
After your appointment
You'll receive individual tear trough filler aftercare instructions. Follow MJ's advice about exercise, heat, facials and skincare. Leave the area alone rather than pressing, rubbing or massaging it unless she directs you to.
Many patients return to ordinary activities after treatment. Leave room in your plans for bruising and swelling, especially before an important event.
Contact the clinic with concerns about recovery. Persistent or worsening symptoms need assessment. The team is there to explain what happens next.
How long does tear trough filler last?
Tear trough filler has a long life. Product can remain beneath the eye for years, even as the visible result changes. That's why MJ reassesses the area before recommending another treatment.
She checks the support from your cheeks, the condition of your skin and any filler already present. The next step follows what she finds.
That plan includes cheek treatment, microneedling, polynucleotides or laser when those address the problem better. Top-ups follow a clinical reason, not a timetable.
What if filler is not right for me?
Filler is one way to improve the under-eye area. The right alternative to tear trough filler starts with understanding what needs to change.
Pigmentation and skin quality: options include appropriate skincare, microneedling, selected laser treatments and peels. MJ chooses according to the concern and your skin type.
Fine lines and thin skin: skin-quality treatments, including polynucleotides, form part of the assessment.
Lost cheek support: restoring the cheeks addresses the foundation beneath your eyes.
Significant bags or loose skin: a surgical assessment establishes whether lower eyelid surgery, also called blepharoplasty, is appropriate.
Fat transfer: this is a separate procedure assessed by a specialist surgeon. It has its own risks and treatment pathway.
You bring the concern. MJ explains the options and the reasoning behind her recommendation. You leave knowing where to start.
Tear trough filler cost
Tear trough filler cost in Liverpool: from £480.
Consultation with Dr MJ: £75.
Ultrasound guidance is included in MJ's treatment fee. When her plan includes cheek filler or another treatment, you'll receive the combined price before deciding.
“We are reassuringly expensive for a reason.”
Your fee covers clinical judgement and technique as well as the product. You're choosing the person who plans your treatment, places the filler and knows when the correction is complete.
Aesthetics members can ask the team to confirm the current dermal filler benefit for their plan.
Your Liverpool aesthetics practice
Smileworks is at One Park West in Liverpool city centre.
One Park West, 1a Kenyons Steps, Liverpool L1 3DF.
Find Smileworks on the mapQuestions patients ask
Can filler get rid of my dark circles?
Filler treats a hollow and the shadow it casts. MJ assesses pigmentation separately. Some colour comes from naturally thin skin and remains after treatment. She identifies the cause before recommending filler for dark circles.
Can filler treat eye bags?
Filler adds volume to a hollow. An eye bag is a bulge caused by protruding fat or puffiness. These need different treatment. When you have both a bag and a hollow, MJ assesses them together and explains the plan.
Will I need cheek filler as well?
MJ always assesses the cheeks with the troughs. Where cheek support has been lost, she plans that treatment first. She then checks how much correction the hollow needs. She explains the plan and total cost before treatment.
Does tear trough filler hurt?
Local anaesthetic helps keep you comfortable. Expect some pressure or movement during treatment. MJ finds that patients generally tolerate the procedure well. Tell her if anything hurts.
Will I need more than one treatment?
Your anatomy and any existing filler determine the plan. Some patients benefit from treating the cheeks and troughs together. Others need a skin treatment as well. MJ reassesses before recommending further injections.
Can tear trough filler be dissolved?
Hyaluronic acid filler is treated with a dissolving agent when clinically appropriate. MJ assesses the filler, your tissues and the problem before recommending it. Dissolving has its own risks and does not guarantee a complete reversal.
If you're worried about previous treatment, start with the complications clinic.
Is tear trough filler worth it?
For a suitable hollow, tear trough filler offers a direct way to soften the tired appearance beneath your eyes. The value is in the change that matters to you. MJ explains the expected improvement, the cost and the risks so you can make that decision.
How do I book?
Looking for under eye filler in Liverpool? Tell us what you want to change. We'll help you arrange the right consultation.
Smileworks is at One Park West in Liverpool city centre.
Let’s find out what your under eyes need
You want to look rested and feel like yourself. Start with a clinician who understands this area and knows how to approach it.
Bring MJ your questions. She’ll explain what she sees and help you choose the next step.