Lower Eyelid Tear Trough / Bowing Treatment

The tear trough, also known as the nasojugal groove, is a small lesion of skin that runs from the inner eye to the outer corner. At times when a patient has a baggy or puffy palpebromalar groove it creates a division of skin between the lower eyelid and cheek.Tear trough deformity of the lower eyelid is one of the most difficult depressions to correct surgically. The thin skin of the trough, the overhanging abundant lower lid fat, the underlying cheek mound, and the tethering effect of the orbitomalar ligament create a surgical challenge.

Both under eye bags and tear trough deformities can result in a tired and aged appearance. They can often occur together and both correlate with either loss of fat or a gain in fat in certain areas around the eyelid structures. We have several injectables, non-invasive dermal filler treatments to help you look young and feel young.

Lower eyelid rejuvenation with dermal fillers is a common procedure as we age to add a touch of volume back to the depressed tear trough area. An approved injectable hyaluronic acid gel is a great soft tissue filler to add volume to the tear trough and the lower eyelid. Surgery or a laser resurfacing along with the filler may be needed if there is too much excess skin in the lower eyelids.