For many patients, both young and old, filler treatments to the under-eye area are a safe and effective alternative to surgery. Many patients are unhappy with the shadows and depressions that occur under the eyes. This can be due to genetics but is also a common sign of aging. 

The tear trough, also known as a nasojugal groove, extends from the inner corner of the eye, following a semicircular arc and transitioning to the palpebromalar groove. A deep tear trough can create a shadow that is perceived as a dark circle below the eye. It also creates a division between the lower eyelid and cheek that is an early sign of aging around the eyes. Patients with deep tear troughs often complain that they look more tired and older than they really are.

Treatment with a filler such as Restylane-L or Restylane Refyne can provide a patient with a long-lasting natural result, often greater than one year, with minimal downtime.