Tear Trough Filler vs Polynucleotides: Which Under Eye Treatment Is Right For You?

The under eye area is often one of the first places to show signs of ageing, fatigue and volume loss. Concerns such as dark circles, hollowness, fine lines, crepey skin and a tired appearance are common reasons patients seek aesthetic treatment.

Two of the most popular treatments for under eye rejuvenation are tear trough filler and polynucleotides. While both treatments can improve the appearance of the under eye area, they work in very different ways and are designed to address different concerns.

Understanding the differences between tear trough filler and polynucleotides can help you choose the most appropriate treatment for your skin, anatomy and aesthetic goals.

At It's Me & You Clinic, a doctor led aesthetics clinic and skin clinic in Kingston upon Thames, we regularly help patients from London, Surrey, Richmond, Wimbledon, Twickenham, Surbiton, Esher, Cobham, Walton on Thames and neighbouring areas select the most suitable treatment through comprehensive facial assessment and personalised treatment planning.

What Is Tear Trough Filler?

Tear trough filler is a dermal filler treatment designed to restore lost volume beneath the eyes.

The treatment uses carefully selected hyaluronic acid filler to improve hollowness between the lower eyelid and upper cheek. By restoring volume, tear trough filler can reduce shadowing and create a smoother transition between facial structures.

The treatment is often chosen by patients who have:

• Hollow under eyes

• Sunken tear troughs

• Shadowing beneath the eyes

• Volume loss

• A tired appearance caused by hollowness

The primary purpose of tear trough filler is volume restoration.

What Are Polynucleotides?

Polynucleotides are regenerative injectable treatments designed to improve skin quality rather than add volume.

Polynucleotides work by supporting the skin's natural repair processes. They help improve hydration, elasticity and overall skin health while encouraging tissue regeneration.

Unlike tear trough filler, polynucleotides do not fill hollows or replace lost volume.

Instead, they are commonly used to improve:

• Fine lines

• Crepey skin

• Skin texture

• Skin quality

• Hydration

• Skin elasticity

• Overall under eye rejuvenation

Polynucleotides are increasingly popular among patients seeking natural skin rejuvenation and collagen stimulation.

Tear Trough Filler Vs Polynucleotides: The Main Difference

The biggest difference is that tear trough filler replaces volume, while polynucleotides improve skin quality.

Tear trough filler works by:

• Restoring lost volume

• Improving hollowness

• Reducing shadowing

• Creating structural support

Polynucleotides work by:

• Supporting tissue regeneration

• Improving skin quality

• Enhancing hydration

• Improving elasticity

• Stimulating repair processes

Understanding the underlying cause of your concern is essential when deciding between the two treatments.

Which Treatment Is Better For Dark Circles?

This depends on what is causing the dark circles.

If dark circles are primarily caused by under eye hollowness and shadowing, tear trough filler may be the more effective option.

If dark circles are associated with:

• Thin skin

• Skin quality concerns

• Crepey texture

• Age related skin changes

polynucleotides may be more appropriate.

Many patients actually have a combination of concerns, which is why professional assessment is important.

Which Treatment Is Better For Hollow Eyes?

Tear trough filler is generally the preferred treatment when volume loss is the primary concern.

Polynucleotides cannot replace missing volume.

If the under eye area appears sunken or hollow, dermal filler often provides more immediate and noticeable improvement.

At our aesthetics clinic in Kingston upon Thames, patient suitability is carefully assessed before recommending tear trough filler treatment.

Which Treatment Is Better For Fine Lines?

Polynucleotides are often preferred when the primary concern is skin quality rather than volume.

Patients concerned about:

• Fine lines

• Crepey skin

• Under eye texture

• Skin ageing

may benefit more from regenerative treatments such as polynucleotides.

These treatments focus on improving the condition of the skin itself rather than adding volume beneath it.

Which Treatment Produces Faster Results?

Tear trough filler typically produces more immediate results.

Many patients notice improvement in under eye hollowness shortly after treatment, although final results are usually assessed after swelling settles.

Polynucleotides work more gradually.

Results often develop over several weeks as the skin responds to the regenerative effects of treatment.

Patients considering polynucleotides should understand that improvement is typically progressive rather than immediate.

Which Treatment Looks More Natural?

Both treatments can achieve natural looking results when appropriately selected.

Natural outcomes depend on:

• Patient selection

• Treatment planning

• Practitioner expertise

• Individual anatomy

At It's Me & You Clinic, our focus is always on achieving refreshed and balanced results that enhance natural facial features rather than creating obvious changes.

Can Tear Trough Filler And Polynucleotides Be Combined?

Yes.

In many cases, combining treatments may provide the most comprehensive under eye rejuvenation.

For example:

• Tear trough filler can improve hollowness

• Polynucleotides can improve skin quality

This allows practitioners to address multiple aspects of ageing simultaneously.

Combination treatment is becoming increasingly popular among patients seeking holistic facial rejuvenation.

Suitability should always be determined following consultation and assessment.

Which Treatment Lasts Longer?

Tear trough filler typically lasts between 9 and 18 months, depending on:

• Product selection

• Anatomy

• Lifestyle factors

• Individual metabolism

Polynucleotide treatment protocols vary and often involve a course of treatments followed by maintenance sessions.

Because the two treatments work differently, direct longevity comparisons can be difficult.

The choice should be based on treatment goals rather than duration alone.

Who Is Suitable For Tear Trough Filler?

Patients may be suitable candidates if they have:

• Under eye hollowness

• Volume loss

• Shadowing beneath the eyes

• Good skin quality

• Realistic expectations

A detailed assessment is required because not every under eye concern is caused by volume loss.

Who Is Suitable For Polynucleotides?

Polynucleotides may be suitable for patients who have:

• Fine lines

• Crepey skin

• Skin quality concerns

• Dehydrated skin

• Early signs of ageing

• Thin under eye skin

Many younger patients choose polynucleotides as part of a preventative skin rejuvenation strategy.

Why Consultation Matters

One of the most common mistakes patients make is assuming all under eye concerns require the same treatment.

In reality, dark circles, hollowness, pigmentation, skin laxity and fine lines often have different causes and therefore require different solutions.

At It's Me & You Clinic, every patient receives a detailed facial assessment before treatment recommendations are made.

This personalised approach helps ensure the most appropriate treatment is selected based on anatomy, skin quality and treatment goals.

Under Eye Treatments In London, Surrey And Kingston Upon Thames

Patients searching for tear trough filler and polynucleotide treatments in London and Surrey increasingly want natural looking rejuvenation without surgery.

Located within Siddeley House in Kingston upon Thames, It's Me & You Clinic provides doctor led aesthetic treatments for patients throughout South West London and Surrey. We regularly welcome patients from Richmond, Wimbledon, Twickenham, Surbiton, Esher, Cobham, Walton on Thames, Weybridge and neighbouring areas.

Our aesthetics clinic and skin clinic offers a discreet and confidential environment with convenient access via Kingston railway station, nearby Bentall Centre parking and additional town centre parking facilities. Patients appreciate receiving expert medical care in a convenient location that serves both London and Surrey.

Why Choose It's Me & You Clinic?

Patients choose It's Me & You Clinic because we provide:

• Doctor led aesthetic treatments

• Treatments performed by doctors or qualified nurses

• Comprehensive consultations

• Advanced facial assessment

• Personalised treatment plans

• Evidence based care

• Natural looking results

• Detailed aftercare support

Every treatment plan is tailored to the individual patient, helping achieve refreshed, balanced and natural looking outcomes.

Frequently Asked Questions

Which is better, tear trough filler or polynucleotides?

Neither treatment is universally better. The best option depends on whether your primary concern is volume loss or skin quality.

Do polynucleotides replace volume?

No. Polynucleotides improve skin quality but do not restore lost volume.

Can polynucleotides reduce dark circles?

They may help improve dark circles related to skin quality, but they do not correct hollowness.

Does tear trough filler improve fine lines?

Tear trough filler primarily addresses volume loss and shadowing rather than fine lines and skin texture.

Can I have both treatments?

Yes. Many patients benefit from combining tear trough filler and polynucleotides to address multiple concerns.

Which treatment provides faster results?

Tear trough filler generally produces more immediate improvement, while polynucleotides work gradually over time.

Conclusion

Tear trough filler and polynucleotides are both valuable under eye treatments, but they serve different purposes. Tear trough filler is designed to restore lost volume and reduce hollowness, while polynucleotides focus on improving skin quality, hydration and tissue regeneration.

The best treatment depends on your anatomy, concerns and desired outcome. If you are considering under eye rejuvenation in London, Surrey or Kingston upon Thames, a consultation at It's Me & You Clinic can help determine the most appropriate treatment plan for your individual needs.

About Dr Laura Geige

Dr Laura Geige is a Level 7 qualified aesthetic practitioner and founder of It's Me & You Clinic, a doctor led aesthetics clinic and skin clinic in Kingston upon Thames. She specialises in dermal fillers, anti wrinkle treatments, polynucleotides, skin rejuvenation and non surgical facial aesthetics. Her approach combines evidence based medicine, personalised treatment planning and premium quality materials to help patients achieve safe, natural looking and balanced results.