I had a deep plain facelift, eyebrow lift, and upper bleph with fat transfer - Can my tear trough area be improved? (Photo)

It's hard to see much in this one limited photograph, however, it does look like you can benefit from additional volume to the cheeks. This could be done with further fat grafting, a cheek implant, and possibly other approaches.

YES, your lower eyelids and the visible bilateral (both right and left sides) oblique linear shadow across your malar eminence (cheek prominence) can be resolved. An office procedure to lift lateral lower lid superficial lamella or a more formal lower blepharoplasty with cheeklift and canthopexy are possible solutions. If you're disinclined for more surgery, skillful application of low G prime hyaluronic acid filler may also work well.

At least from the photo provided, an appropriate HA filler in the hands of an expert, board certified cosmetic dermatologist filler expert, can improve the remaining tear trough without adding any bulk to the adjacent cheek. In experienced hands, this procedure should take no more than about fifteen minutes to perform with immediate, on-the-spot results and little to no significant downtime. Hope this helps and best of luck.

Based on the one post, a photo of the tear trough can be improved by a combination of the Endo, laser and nano fat grafting or H a fillers. Best of a virtual concert with expect fees to arrange from $2000-$3500.