Are These Tear Troughs and What Can I Get Done? (photo)

These are not usually an issue until the 30's or 40's. The actual anatomic cause is still being debated even among experts. However, in a young person, it's often due to flat cheekbones.

There are a number of treatments. Fillers are easiest and have little to no downtime. Sometimes implants to augment the bones can help in a young person with flat bones. In older patients, surgery such as blepharoplasty with fat respositioning into the tear trough is often the answer.

Hi @Dog101. You are correct those are tear troughs and can be treated with a dermal filler like Restylane or Belotero to help lessen the severity of the trough. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Yes, those are "tear troughs" and can be treated with a dermal filler to help lessen the severity of the trough. Consulting with a reputable, well-trained, and experienced provider is your best first step.

Tear troughs can sometimes be genetic or apparent at an early age. HA fillers can be injected into the cheeks/tear troughs to smooth any pronounced hollowing. Conservative and gradual addition of fillers can help to enhance this area with minimal risk if done by a trained professional. 

    Hyaluronic acid fillers (there are several that can suffice) can be used to subtlely improve the tear trough area in younger patients.