EDUCATIONAL AREA: Find your Treatment
Dr Harry JamesEvery treatment, personally
In short
Eyes & tear troughs at Dr Harry Clinic, Chiswick and Covent Garden. Every treatment is carried out personally by Dr Harry James, MBChB PGDip (CAIT), GMC 7528423, at a CQC registered clinic.
At a glance
Reviews
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
Dr. Harry is incredibly knowledgeable and really takes his time to talk you through everything, answer any questions, and ensure you’re comfortable throughout the whole appointment. I never felt rushed, and he explained the treatment and expected results clearly, which made me feel really confident in the process. I’m so pleased with my results and wouldn’t hesitate to recommend him.
NNatasha-LaraChiswick · via Google
★★★★★
Great experience for an ultrasound-guided filler dissolution treatment. Dr Harry was very patient, caring and professional. I really appreciated the thorough consultation and felt well looked after throughout the treatment. Very happy with the results!
KKasey SongCovent Garden · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
See it on the face
Each concern marked where it appears. Choose one to look closer and read what it is, why it happens and what treats it.
Eyes & Tear Trough · concern 01
Eyes & Tear Trough · concern 02
Eyes & Tear Trough · concern 03
Eyes & Tear Trough · concern 04
Anti-Wrinkle Injections, Smooth expression lines like crow’s feet while preserving natural movement.
Dermal Fillers, Restore volume to tear troughs and under-eye hollowing using low-density HA fillers.
Skin Boosters, Improve fine lines, crepey texture, and hydration without adding volume.
Brow Lift (Toxin-Based), Subtly lift the outer brow and refresh the upper lid with strategic placement.
Each treatment may be used alone or in combination depending on the aesthetic needs and structural features of the eye area.
In many cases, the most natural and lasting results come from combining treatments:
Crow’s feet + Tear trough: Soften expression lines and restore under-eye volume.
Upper eyelid + Lateral brow: Support the upper eye with toxin lift and filler contour.
Skin boosters + toxin: Smooth fine lines and hydrate for long-term improvement.
Dr Harry’s expert planning ensures that each component works in harmony to enhance your overall eye area without changing your unique expression.
Crow’s feet develop from years of squinting, smiling, and blinking. These lateral lines are best treated with carefully dosed botulinum toxin, targeting the orbicularis oculi muscle without freezing expression.
The aim is to soften lines while maintaining the ability to smile naturally, no frozen look. Treatment typically lasts 3 to 4 months and gradually fades without sudden drop-off.
Volume loss in the tear trough can cause a tired, sunken appearance. HA dermal fillers, when placed correctly, blend the lower lid with the midface and soften the under-eye transition.
A gentle, precise technique using soft, cohesive fillers helps avoid puffiness or shadowing. This treatment can last 9 to 12 months and offers immediate but natural improvements.
Dark circles may result from vascular visibility, pigmentation, or hollowing. Treatment selection depends on the root cause and may involve:
Filler for volume loss
Skin boosters to improve texture
Brightening skincare or peels if pigmentation is present
The approach is always customised based on skin type, tone, and severity of the concern.
Heaviness of the upper eyelid often results from downward-pulling muscles or volume depletion in the brow area.
Strategic use of botulinum toxin can gently lift the lateral brow, enhancing the openness of the eye without surgery. This is often complemented with brow-area fillers or skin tightening protocols for complete support.
Skin boosters like Redensity 1 or polynucleotides can significantly improve the appearance of fine lines, dehydration, and crepey texture around the eyes.
These treatments stimulate collagen and elastin while deeply hydrating the skin, perfect for patients not ready for volume or those focused on skin quality.
The eye area is often the first region to show signs of ageing due to the delicate nature of periorbital skin and the constant movement of facial expressions. Understanding the complex anatomy and ageing patterns of this sensitive area is essential for safe and effective treatment.
The periorbital region contains some of the thinnest skin on the face and is subject to constant movement from blinking, squinting, and facial expressions. This combination of delicate anatomy and repetitive motion makes the eye area particularly susceptible to premature ageing.
Dr Harry’s expertise in eye area treatments comes from his comprehensive understanding of periorbital anatomy and his experience as a trainer in aesthetic medicine. This knowledge ensures that treatments are performed safely whilst achieving beautiful, natural-looking results.
Every treatment plan begins with a detailed evaluation of the periorbital area, including muscle movement, skin thickness, fat pads, and tear trough structure. This ensures that interventions are tailored to your unique anatomy and aesthetic goals.
By considering all underlying ageing factors, from volume loss to skin quality, Dr Harry provides an integrated treatment strategy designed to preserve eye shape, support tissue integrity, and achieve subtle, elegant results.
Due to its proximity to key vascular and nerve structures, the eye area requires careful, precise treatment. Techniques must be adapted to ensure minimal trauma and reduced risk of side effects.
All treatments are performed using advanced protocols, sterile microcannulas or fine needles, and product selection tailored specifically for the periorbital region.
The eye area is uniquely delicate and prone to early ageing. Treatments target hollows, fine lines, crow’s feet, and upper eyelid heaviness through precise injectable solutions.
Dr Harry uses his deep understanding of periorbital anatomy to safely treat under-eye areas and muscle dynamics around the eye while preserving natural expressions and eye shape.
Depending on your concern, treatments may involve dermal fillers, anti wrinkle injections, skin boosters or regenerative options, all selected to suit your unique structure.
Eye rejuvenation treatments offer natural-looking, subtle enhancement without surgery or significant downtime, while supporting long-term skin health and youthful appearance.
Meet Dr Harry James
Dr Harry James brings a wealth of experience and clinical precision to our London clinics. As a certified trainer in aesthetic medicine and a finalist in multiple national aesthetic award ceremonies, Dr Harry is recognised for his advanced techniques, patient-focused results, and commitment to setting high standards in non-surgical aesthetics.
His expertise extends beyond delivering treatment, he actively trains other practitioners and remains at the forefront of the field through continuous education and professional development.
Common questions
Tear trough hollowing can result from age-related volume loss, genetics, or lifestyle factors. Dark circles may also be caused by pigmentation or thin skin showing underlying vessels. A full assessment determines the most effective treatment.
Tear trough fillers typically last 9 to 18 months depending on the product used and individual factors. Skin boosters for the eye area may be repeated every 4 to 6 months to maintain hydration and skin quality.
Absolutely. In fact, combination treatments often yield the best results by addressing both muscle movement and volume loss around the eyes.
Not at all. Dr Harry’s approach is conservative and anatomical, aiming for natural rejuvenation that enhances your own features without altering your identity.
Most treatments have little to no downtime. You may experience mild swelling or bruising, particularly with fillers, but this is usually minimal and temporary.
Dr Harry will carry out a detailed periorbital assessment during your consultation and recommend a tailored plan based on your anatomy, concerns, and goals.
Your visit
The same five steps for every patient, whatever you come in for.
Book online or call the clinic. A consultation is £75 and is redeemable against your treatment if you go ahead. Two to four weeks is the usual lead time.
A full medical history review, then a detailed assessment of your concerns and goals. Where the skin itself is the question, that includes an Observ 520x scan, which looks under the surface at sun damage, pigmentation and hydration. Unhurried, and with time to ask everything you want to ask. About the skin analysis
Dr Harry talks through the options and what each can and cannot do, then builds a personalised plan. Nothing is decided for you, and there is no obligation to treat on the day.
Carried out by Dr Harry James himself, never handed to whoever is free. You leave with written aftercare and a number to call if anything concerns you.
A follow up to assess how the treatment settled, monitor anything that needs watching and plan maintenance or next steps.
Where to have it
West London
Eyes & tear troughs with Dr Harry James at our Chiswick clinic, W4. Six days a week, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Chiswick300 Chiswick High Road, Chiswick, London W4 1NP
★★★★★ Rated 5.0 on Google
Central London
Eyes & tear troughs with Dr Harry James at our Covent Garden clinic, WC2. Thursdays and Fridays, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Covent GardenJubilee Hall, 30 The Piazza, Covent Garden, London WC2E 8BE
★★★★★ Rated 5.0 on Google
Eyes & tear troughs is available at both clinics, at the same price and with the same practitioner: Dr Harry James carries out every treatment himself. Chiswick clinic · Covent Garden clinic.
From the journal
The tear trough region represents one of the most complex and challenging areas in aesthetic medicine, requiring sophisticated understanding of…
Tear trough filler fills a hollow. It does not lighten pigment and it can make a genuine under-eye bag look worse. How to tell which one you have…
The skin around your eye is about 0.5mm thick. Everywhere else on your face it is closer to 2mm. That single number explains most of what follows…
More in this range
Ready when you are
A £75 consultation with Dr Harry James at Chiswick or Covent Garden, redeemable against your treatment if you go ahead. He assesses, explains what eyes & tear troughs can and cannot do for you, and writes a plan. Nothing is decided for you on the day.
Chiswick, W4 and Covent Garden, WC2020 3633 8687
