Dr Sanjay Gheyi MBBS, MS, FRCS, FP Cert, BCAAM

0800 0430737

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Injectables : fillers : IPL : lasers : hair removal : photorejuvenation : co2 resurfacing : leg veins : vital : Sub Q : Liposuction : Fat transfer : Face lift

Acne Scarring

Agera Rx
Age spots
Cellulite reduction
chemical peels
Carbondioxide laser
dermal fillers

DOT therapy

Ear lobe Surgery
Face and neck lift
Fat transfer
Hair removal
Hair restoration
excessive sweating
L.E.D light therapy
Leg veins
Fractional eyelift, Madonna lift
diamond microdermabrasion
Mini Tummy Tuck
minor surgery
oxygen facial
PRP treatments
Radiofrequency skin tightening
restylane vital
Scars and stretchmarks
Y lift with Restylane Sub Q
Tattoo removal
Ultrasound body contouring
Varicose Veins
Vascular lesions
Medical Weight loss


Dark circles under eyes. Tear trough treatment.

tear trough before dermal filler tear trough after dermal filler The best thing I have ever done. I was so worried about having the filler for my tear troughs and was so nervous. The doctor made me so relaxed and I didn’t feel a thing. Next time I won’t worry at all.
The difference it has made to my confidence is amazing. It took ten years off me. I used to hate looking in the mirror as I always looked at that area but now it looks like I did when I was younger. So happy and so grateful to the wonderful doctor.
Read more..
Tear trough before   Tear trough after restylane  
tear trough before treatment    


Dark circles under eyes are a common problem. These can result in a tired and dull appearance even though you may be full of energy. So what causes these?

Dark circle may actually be due to excess pigmentation in the skin under the eyes. This is more common among dark Asians. It can sometimes be due to underlying medical problems, nutritional deficiencies or due to congestion caused by allergies or hay fever etc.
Vast majority of suffers however do not have any underlying medical problem. The usual cause in not true dark circles but such appearance due to shadows cast by overhead light. The medical name for this is naso-jugal grove or more commonly referred to as ‘Tear troughs’

Tear troughs is the area where lower eyelid stops and cheek begins. The skin along this area is attached to the underlying bone by a dense ligament. Young plump skin and underlying tissue hides it. This however changes as 30s and 40s roll on. Skin, soft tissue and even underlying bone of this area change and shadows start to appear. Sometimes this can be a result of surgery in this area.

So what can be done for tear trough correction?
This is one condition where surgery will not help. A better solution is injection of hyaluronic acid fillers to plump out this area so that shadows become less conspicuous. And remember- less is more here. Too much filler and a bluish tinge will be visible or the area will swell. Bruising as a result of treatment is now very much a thing of the past. New technology and injection techniques now make it possible to have this as a ‘lunch-time’ procedure without any downtime although it is best to allow a few days to be on the safe side.

Is this procedure painful?
No, this is performed under local anaesthetic and this area is usually less sensitive so pain is not an issue.

What fillers are used?
We use restylane and emervel fillers as it is a natural product and allergy test is not required. Another big advantage is that it can easily and instantly dissolved should there be any problem.

How long does the filler last?
Usually up to a year or more and then it can be repeated.

What other treatment option are available?
Specialist skin creams including depigmenting agents, gentle chemical peels , pigment removal with q swithed lasers and fractional eyelift also known as ‘Madonna lift’ can rejuvenate skin around the eyes and sometimes combination approach works best.

Call 0800 0430737 or fill out our appointment form to arrange your consultation

© Dr Sanjay Gheyi
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