As a person ages, the skin and muscles of the face change, the tear trough becomes deeper, and any circles beneath the eye become darker. However, there are options available to improve this common condition.

tear troughThe aging process sooner or later causes a natural deepening of the tear trough and people begin to lose elasticity in the upper and lower eyelids. As a result, eyelids can begin to sag and fat can accumulate beneath the eye—both of which further deepen the tear trough to the point when a person’s tears will flow down the trough and across the cheeks as opposed to sliding straight down the cheek. In addition, deep tear troughs may cause bags and puffiness under the eyes, making one look tired or older than they actually are.

Tear trough deformity can afflict people in a variety of ages ranges, from their 20’s to their 80’s and beyond. While surgery was necessary to treat the condition in the past, Dr. Matthew White has employed innovative techniques with injectables to restore fullness to the tear trough, giving patients a more youthful appearance. For more severe cases, Dr. White is able to combine these newer techniques with surgery to ensure that the tear trough treatment can produce the results in keeping with the patient’s needs.

To learn more about tear trough deformity and how our facial plastic surgeon can help rejuvenate this area of the face, contact us today.

Tear Trough Deformity Correction Benefits

The tear trough deformity correction treatment restores the area beneath the eyes to achieve a more youthful and smoother appearance. The benefits of tear trough deformity correction include:

  • Reducing puffiness under the eyes
  • Improving dark circles under the eyes
  • A younger, more energetic look
  • Individually tailored treatment strategy
  • Long-term to permanent results


The ideal candidate for tear trough deformity correction is any person who is affected by the condition and desires effective correction for it. The treatment can be performed on men and women of virtually any age who are in good overall health, do not have excessive fat accumulation under the eyes, and maintain realistic expectations in regard to the results the treatment can achieve. Dr. White will meet with you for an initial consultation to evaluate your needs and determine if tear trough deformity correction treatment is the best option for your goals.

Tear Trough Deformity Correction Procedure

Because surgery is not required for the correction of every case of tear trough deformity, Dr. White uses the consultation process to tailor the treatment to the unique requirements and desires of each patient. Many patients do not require any surgery at all and achieve successful rejuvenation solely through the use of injectable dermal fillers such as Restylane® or Belotero Balance® that fill in the tear trough depression.

Fillers can also be combined with platelet-rich plasma (PRP), which thickens the collagen layer of the skin to reduce the appearance of dark circles. SELPHYL® is the PRP kit utilized in the Vampire Facelift® process. This lunchtime procedure entails Dr. White taking a small sample of your own blood. The sample is then spun in a centrifuge, and the protein-rich platelets are separated from the red blood cells. A gel is produced which contains concentrated collagen-stimulating proteins, and this substance is gently injected into the skin under the eyes. This material creates what is known as a platelet-rich fibrin matrix (PRFM), which has significant healing abilities. When used in conjunction with a dermal filler, lost tissue is restored, causing the area to smoothen and dark shadows to be diminished.

When injectables, with or without PRP, cannot sufficiently eliminate bagginess, Dr. White may recommend lower eyelid surgery (blepharoplasty).

The Recovery Process

While downtime varies from person to person, tear trough deformity correction patients that are treated with non-surgical injectables are typically ready to return to work after 2-3 days. For patients requiring eyelid surgery in conjunction with injectable treatment, recovery time will be longer.

Contact Dr. Matthew White

To learn more about how injectables and blepharoplasty can be used to treat tear trough deformity, contact our practice today.