Extra Fold of Skin Under Eyes? (photo)

      Filler to the tear trough will help the appearance to some extent.  You look young, but removal of fat or fat transposition may be reasonable as well. 

 

 

Kenneth Hughes, MD Los Angeles, CA

From the picture looks as though there may be some herniated fat in the lower eyelid next to a tear trough abnormality. The surplus fat can be translocated into the tear trough to fix both problems.

From what the picture shows, you may have some hollowing to your lower lid area with early herniation of your fat pockets.  You should see a plastic surgeon that is specialized in eyelid surgery to properly examine you and give you the best recommendations. You may be a candidate for fillers (ie hyaluronic acid fillers) and/or eyelid surgery. Good luck.