How to Treat a Deep Tear Trough

Ever notice that the deeper a person’s tear trough, the more likely they are to look fatigued? Because the tear trough appears to be a sunken facial feature – located beneath the inner corners of the eyes – it can have a dramatic impact on how awake and refreshed someone looks. The more sunken the tear trough, the more fatigued and dark the eyes – and face! – appear to be. This can be a considerable source of embarrassment and frustration for patients, as deep tear troughs are difficult to treat with creams and other over-the-counter products. Sunken tear troughs can occur with extreme weight loss; sagging of the cheek tissue, which is typically associated with aging; and protruding fat above the intra-orbital rim. With this in mind, it’s important to note that the age of the patient will largely influence how the tear trough is treated. Here are just a few of the treatment options that can be used to treat a deep tear trough:

  • If the patient is young, a sunken tear trough can usually be addressed with hyaluronic fillers, like Restylane or Juvederm. This can provide a quick and hassle-free fix for tear troughs; however, patients will need to remember that these injections need to be repeated on a regular basis.


  • Younger patients with increased fat above the orbital rim may want to undergo a transconjunctival blepharoplasty with fat re-positioning. This procedure moves the patient’s own fat over the tear trough area, thereaby ablating the depression.


  • Aging patients usually suffer from deeper tear troughs due to the appearance of excess skin, as well as dropping of their cheeks (associated with age). This makes the tear trough appear deeper, as it exposes the orbital fat above and natural cheek tissues falling below. This can best be treated with a lower blepharoplasty combined with a facelift and re-positioning of fat.

Frederic H. Corbin, MD is a distinguished board-certified plastic surgeon practicing in two locations: Beverly Hills and Brea, CA (serving the Orange Country area). For over 25 years, Dr. Corbin has been providing patients with superior treatments and procedures that effectively address deep tear troughs. For more information on treating this cosmetic issue, schedule a consultation with Dr. Corbin at one of his two locations in Beverly Hills and Orange County. Simply call (310) 284-8384 for Beverly Hills or (714) 671-3033 for Brea, or you can fill out the form in the top right corner.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.