Periorbital rejuvenation and tear trough filler

The tear trough is the undereye area between the lower eyelid and the upper cheek, which can also be referred to as the lid cheek junction. Shadows can cast here, which causes the undereye area to darken and present a tired appearance. People can suffer from undereye skin hyperpigmentation, skin laxity, hollowing or all of the above.

The key anatomical areas of the orbital undereye area are: the orbital rim, tear trough, palpebromalar groove and the mediojugal fold. Furthermore, the critical deficits of tear trough deformity are: volume redistribution/loss, orbital fat pad herniation and/or excess lower eyelid skin (Nassimizadeh et al, 2019). These deficits occur through the bony reabsorption process. This causes orbital rim widening with age, making the eyes appear deeper and hollower, and gravity pulls the skin, fat, muscle and ligaments downwards. Fat pads either atrophy or become hypertrophic; general atrophy occurs to the whole face indirectly, which affects the undereye area, making it appear increasingly hollow and dark (Cetto, 2018).