Condition Overview

Tired eyes and tear

Tired eyes and tear trough depressions are common aesthetic concerns that create a fatigued appearance, even when well-rested. These under-eye hollows can affect individuals of all ages, making the face look older and more exhausted than it truly is.

At Dermasurge, we specialize in advanced under-eye rejuvenation techniques to refresh and brighten the eye area. Dr. Hiba Injibar, a renowned dermatologist, combines her expertise with precision treatments to help patients achieve a more rested, youthful appearance.

Symptoms

  • Tear troughs appear as hollows or dark shadows under the eyes, creating a tired appearance
  • Under-eye bags may accompany hollows, forming a “valley” between the lower lid and cheek
  • Dark circles often worsen the appearance of fatigue
  • Thin under-eye skin makes blood vessels more visible
  • Volume loss creates sunken areas beneath the eyes
  • Severity ranges from mild (slight shadowing) to severe (pronounced hollows with noticeable discoloration)

causes

Tear troughs develop from multiple anatomical and age-related factors that affect the delicate under-eye area.

Natural Facial Anatomy
Some individuals inherit a genetic predisposition to deeper tear troughs and thinner under-eye skin.

Age-Related Volume Loss
Fat pad depletion and collagen reduction create hollowing beneath the eyes as we age.

Ligament Tightening
The orbicularis retaining ligament becomes more prominent with age, creating visible demarcation.

Environmental Factors
Chronic sun exposure and smoking accelerate collagen breakdown in the delicate eye area.

Lifestyle Habits
Poor sleep, dehydration, and high salt intake can exacerbate puffiness and dark circles.

Professional Treatments

Tear Trough Fillers use hyaluronic acid to precisely replenish lost volume and smooth under-eye hollows.

PRP Under-Eye Treatment stimulates collagen production using your own growth factors for natural rejuvenation.

Fractional Laser Resurfacing improves skin texture and reduces pigmentation for brighter-looking eyes.

Radiofrequency Therapy tightens loose skin and stimulates collagen in the delicate under-eye area.

Lower Blepharoplasty surgically addresses excess fat and skin for more dramatic, long-lasting results.

Each treatment is carefully selected by Dr. Hiba Injibar based on your unique eye anatomy and desired outcome.

over 20 years of expertise

WHY CHOOSE DERMSURGE CLINIC FOR TEAR TROUGH TREATMENT?

Dr. Injibar, London’s leading consultant dermatologist, specializes in natural-looking under-eye rejuvenation using the most advanced techniques to brighten tired eyes without looking overdone.

DR. HIBA INJIBAR – PIONEER IN DELICATE EYE REJUVENATION

LONDON’S TRUSTED EXPERT FOR TEAR TROUGH & TIRED EYES

With over 20 years of specialized facial aesthetics experience, Dr. Hiba Injibar has perfected the art of natural-looking under-eye rejuvenation. Her meticulous approach combines medical expertise with an artist’s eye for facial harmony.

DR. HIBA’S EXPERT INSIGHTS ON EYE REJUVENATION:

  • “The Truth About Tear Troughs” – Safe solutions for hollow under-eyes
  • “Bright Eyes: Combatting Dark Circles” – Medical-grade solutions
  • “The Art of Subtle Eye Rejuvenation” – Avoiding the overdone look
  • Featured Podcast“Awakening Tired Eyes” – Latest non-surgical techniques

Reviews

Check out some of our reviews

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4.8
Based on 227 reviews
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elva liu profile picture
elva liu
14:37 12 Feb 26
I had my first Ultraformer HIFU treatment at Dermasurge today with Manuela and I couldn’t be happier with the experience.

Manuela was incredibly professional, patient and reassuring throughout the whole session. She explained every step clearly and made sure I was comfortable, allowing breaks whenever needed and chatting with me to distract from the more intense parts of the treatment. I really appreciated how attentive and caring she was.

The treatment itself was thorough and carefully done — I felt confident I was in very experienced hands. Manuela took her time and made sure every area was treated properly, which gave me a lot of trust in the process.

Dermasurge has a very professional and calm environment, and I’m looking forward to seeing my results over the next few weeks and continuing my treatment plan. Highly recommend Manuela if you’re considering HIFU treatment.
Amz Ze profile picture
Amz Ze
19:53 30 Jan 26
I had a great experience at Dermasurage Clinic, everyone was friendly and very helpful. I was nervous about my surgery but Dr hiba did great job and satisfied with the overall customer service.
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Renata Elena Barulescu
17:29 22 Jan 26
I had a very pleasant experience, the atmosphere was welcoming, and the girls were very attentive to me. The consultation with Dr. Hiba went very well, I also had a procedure with her that was very easy and fast. I was also assisted during this time by Miss Madalina, who was very nice to me. I highly recommend the Dermasurge clinic, I will come back.
Raz Ali profile picture
Raz Ali
19:16 19 Jan 26
Dr Hiba and her staff are professional, friendly and welcoming. I felt at ease throughout the entire process and I would definitely recommend this place to others.
Kristina kristalas profile picture
Kristina kristalas
17:44 09 Jan 26
Had a consultation today with Doctor Hiba, and so far very pleased with her recommendation and explanation about my treatments she suggested which is Subcision and CO2 laser resurfacing according to my skin concerns (Acne scarring and few traumatic scars). Also would like to say that Girls at the reception are very welcoming and made me feel valued. Very excited, and will update more information after outcome of my treatment. So far very happy with their service and can’t wait to see results ☺️
Abir Chatila profile picture
Abir Chatila
14:54 19 Dec 25
I have been a patient of Dr. Hiba for several years, and each visit consistently reflects her exceptional level of care and professionalism. She always dedicates ample time and attention, ensuring a thorough understanding of my needs. Her expertise allows her to recommend the most appropriate treatments with impressive results every time. I particularly appreciate her patience and gentle technique, which makes each procedure comfortable. Dr. Hiba’s commitment to her patients truly sets her apart.
Megan Myers profile picture
Megan Myers
17:47 01 Nov 25
Dr. Hiba removed a dermal piercing for me and the experience was exceptional from start to finish. She was compassionate, kind, caring, and completely honest throughout the entire process. Her professionalism and attention to detail gave me full confidence in her care.

Her team was also outstanding and every staff member I interacted with was warm, supportive, and knowledgeable. The receptionist in particular went out of her way to help me and made the whole experience smooth and stress-free.

Highly recommend Dr. Hiba and her team for anyone looking for expert, considerate care.
m hol profile picture
m hol
16:32 12 Sep 25
We have used Dermasurge for our two children and the level of service from all staff goes above and beyond. They are polite, personable and knowledgeable. The speed of service is also very good. We have used other dermatologists before and can note that the Dermasurge team are far better.
Beth Bonini profile picture
Beth Bonini
17:16 28 Aug 25
I had several seborrheic keratosis removed and one unusual skin growth excised and biopsied. The procedure was quick, painless and healed well. Dr Hiba and her staff were all friendly and kind and followed up quickly on my questions. I would use this dermatologist again.
Pekis Dom profile picture
Pekis Dom
08:58 02 Aug 25
Loved my experience with doctor Hiba, I started my treatment to great my skin focused on restoring volume, facial harmonization and preventing aging. It wasn’t painful at all, I’m very excited for the following treatments for my pigmentation and boost collagen, she has so many cutting edge lasers and technology that I can’t wait! ❤️
Jennifer Matta profile picture
Jennifer Matta
13:48 25 Jul 25
I’ve been attending Dermasurge for the past 4 months for laser and Botox treatments. The staff are all very professional, knowledgeable, and helpful. An excellent TEAM!
Dr. Hiba is amazing, very professional and approachable. During my initial consultation Dr. Hiba provided clear advice and direction, regarding the treatment I was seeking. I felt supported and listened to. A treatment plan was drawn up and each treatment explained in detail.
My laser treatments were done by Manuela, who has been incredible. A top therapist, professional and so friendly. Thank you Manuela for the high standard of care you gave me!
I highly recommend Dr.Hiba and her team.
Yusuf profile picture
Yusuf
19:55 12 Sep 24
Maha Nur profile picture
Maha Nur
22:19 05 Sep 24
Wesley Hendriks profile picture
Wesley Hendriks
16:35 29 Aug 24
I was a bit nervous but guidance from the doc and nurses was amazing.
Amanda Fuller profile picture
Amanda Fuller
12:22 07 Aug 24
Dr Hiba Injibar is an absolute pleasure - not only made me feel welcome and comfortable but gave me options and confidence that we could resolve my issues. Highly recommend! The staff is lovely and super easy to work with as well.
Jon Heuer profile picture
Jon Heuer
17:23 02 Aug 24
silvina paz profile picture
silvina paz
09:36 29 Jun 24
Everyone at this clinic is really nice and what I like most about Dr Hiba is that she did not try to sell me something, instead she listened to my concerns and recommended a treatment that had my best interests at heart. And i am very pleased with the results.
Paulina Porwollik profile picture
Paulina Porwollik
15:05 17 Jun 24
I had acne in my twenties. Dr. Hiba did a great consultation and prescribed medication that successfully healed my acne. I feel so much more confident in my skin today and am super grateful for the treatment I received. Also, the whole team at Dermasurge is super lovely. Thank you, Dermasurge!
Sarah Over profile picture
Sarah Over
21:15 19 Apr 24
My teenage daughter attended having suffered with bouts of regular breakouts which caused her significant concern and distress. Dr Hiba took the time to explain what was causing the problem and gave very pragmatic and honest advice about the treatment pathway. Less than a week later the results are already evident and my daughter; who only last week felt very low about her skin now has hope that she doesn’t need to suffer any longer.

Ridwana was also incredibly kind and understanding. She shared her own experiences with my daughter making her feel much more at easy.

The entire clinic has a calming yet professional atmosphere which is exactly how the clinical experience also felt.

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