Beauty for Queens

By Morten Andersen, Co-founder  ·  leads clinic vetting & editorial standards  ·  Independent & not affiliated  ·  Last updated June 2026

Tear trough filler in Madrid

Tear trough filler places a small amount of hyaluronic acid into the hollow under the eye to soften shadows and the tired look that comes with a deep groove. It is one of the most delicate injectable treatments and it is not right for every under eye concern, so careful assessment matters more here than almost anywhere else on the face. Madrid has a deep bench of aesthetic medicine clinics, many with doctors who treat the eye area regularly. Here is what to expect locally, the honest risks, and indicative Madrid prices.

Good to know · Tear trough filler is an injectable medical aesthetic treatment in a delicate area. This page is general information, not medical advice. Results vary between individuals and are not guaranteed, the effect is temporary, and treatment should be carried out by an experienced doctor after a proper consultation. Prices are indicative ranges only.

What to expect

A precise, conservative appointment

The consultation

A doctor examines the under eye area, the cause of the shadow and your skin quality. Not every dark circle suits filler, and a good practitioner will sometimes recommend a different approach or none at all. They explain why the right product matters in this thin skinned area and what realistic improvement looks like.

The treatment

Many doctors use a blunt cannula rather than a needle here to reduce bruising and place product carefully. A very small amount is used, often less than one millilitre across both sides. The appointment itself takes around twenty to thirty minutes and most people find it comfortable.

The result

The hollow looks softer straight away, with the final result settling over two to four weeks as any swelling resolves. Tear trough filler often lasts longer than filler elsewhere, sometimes well over a year, because the area moves little. A review appointment is sensible. Results vary.

Both under eyes
€350 to €550

A typical tear trough treatment, indicative for Madrid. Usually around one millilitre or less.

Premium clinic
€500 to €750

A senior doctor and a specialised under eye product such as a dedicated hyaluronic acid.

Review or top up
€200 to €350

A small adjustment at review. Confirm whether a follow up is included in the first price.

All figures are indicative ranges for guidance only. They vary by clinic, the product used, the amount injected and the practitioner. Always confirm the price and what is included with the provider before booking.

Where it is offered

Tear trough filler across Madrid

Under eye hyaluronic acid is offered by many aesthetic medicine clinics across Madrid. Given the delicacy of the area, it is worth choosing a doctor who treats the tear trough regularly. A few names that reference under eye work are below. Verify the practitioner's qualifications, the product used and prices with each clinic before booking.

Clínica Bayón

A Madrid aesthetic medicine clinic offering under eye hyaluronic acid, using a product designed for the tear trough area. A sensible choice for someone who wants a doctor experienced with the under eye. Confirm the product and pricing at consultation. Pricing to be confirmed with the clinic.

ENEA Clínica

A Madrid facial aesthetics clinic offering under eye filler to soften shadows and hydrate the area. A reasonable option for someone who wants a facial aesthetics focused setting. Confirm the technique, product and pricing at consultation. Details to be confirmed with the clinic.

Instituto Médico de Estética (IME)

A long standing Madrid aesthetic medicine institute offering hyaluronic acid treatments including under eye filler. A reasonable option for someone who wants an established medical institute. Confirm that tear trough treatment is offered, along with the product and pricing, at consultation. Details to be confirmed with the clinic.

Listing reflects publicly available information and is not a ranking or an endorsement. Always confirm current services, qualifications and prices directly with the provider.

Risks and downtime

Honest about what is involved

The tear trough is unforgiving. Expect possible bruising, which can be noticeable here for a week or so, along with swelling and tenderness in the first days. Because the skin is thin and the area drains slowly, this is the part of the face most prone to puffiness and a bluish look if too much product is placed or it sits too superficially, sometimes called the Tyndall effect. Lumps, prolonged swelling and a heavy under eye are real risks of overfilling, which is why a conservative approach matters. The most serious and rare risk for any facial filler is product entering a blood vessel, which near the eye can in very rare cases affect vision, so an experienced injector who keeps hyaluronidase, the enzyme that dissolves hyaluronic acid, to hand is important. Results are temporary, vary between people and are not guaranteed.

Good to know · Ask how often the doctor treats tear troughs, whether they use a cannula, which product they choose for the under eye and whether they keep hyaluronidase on site. A practitioner who is willing to under treat or decline is a good sign.

Read next

The full tear trough filler guide

What it is and who it suits
Explore

Clinics across Madrid

The Madrid guide
Get matched

Find your Madrid clinic

Tell us what you have in mind and we will match you with a vetted Madrid clinic for tear trough filler. No pressure, no obligation.

This is general information, not medical advice. Prices are indicative and results vary.

The Beauty Edit

A quiet letter, once a month

Considered guidance on treatments worth knowing, the clinics we rate and the questions to ask. No noise.