Tear Trough Correction

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What is Tear Trough Correction ?

The tear troughs are the depressions between the eye and nose where your tears naturally flow down. Their appearance often becomes more pronounced over time, as fat around the eyes shifts and creates a hollow look and/or under-eye bags. This combination of age-related changes lends a fatigued look to the entire eye area, and it’s important to understand the underlying causes behind these common eye-area concerns when considering treatment.

A tear trough deformity occurs when the depression or “hollow” extends horizontally across the entire junction of the lower lid and cheek. At first, this indentation may appear small and often goes unnoticed. But as the skin ages or worsens, the indentation can grow to create a large, dark shadow under an individual’s eyelids.

A tear trough deformity can happen to anyone, at any time. It usually is the result of skin and muscle laxity that may occur for a number of reasons.

A tear trough deformity can happen to anyone, at any time. It usually is the result of skin and muscle laxity that may occur for a number of reasons. For instance, genetics, diet, stress, sun exposure and various lifestyle factors may cause a younger person to suffer deep tear troughs. Comparatively, an older individual becomes more likely to encounter deep tear troughs due to aging.

Young patients seeking advice on “eye bags” may actually be suffering from a “Negative Vector Orbit”. Negative Vector Orbits are usually caused by an under-formed cheek bone under your eye that gives you a “prominent eye” appearance in which the eyeball and normal fat of the lower eyelid protrude farther than the cheek bone. This casts a shadow and gives the appearance of dark circles under the eyelids.

To correct tear troughs, the treatment involves filling the tear trough area to elevate the indented or depressed area until it is flush with the lower lid and cheek. At Changes Plastic Surgery we use a variety of methods to correct tear troughs: Hollowing under the eye due to negative vector orbit


Restylane is the preferred under eye filler used at Changes Plastic Surgery. Restlane is comprised of hyaluronic acid. Hyaluronic acid occurs naturally in the human body and provides plumpness to the skin. In one office visit, Restylane can be injected into the tear trough hollows to fill the area and bring the darkness into the light. Restylane injected into the area can minimize the appearance of under eye bags for up to one year.

Fat injections :

Fat grafting provides longer lasting correction for under eye hollowing and bags. Fat is extracted from an area of the body (usually the stomach or thighs) by micro-liposuction. After purifying the fat, it is injected into the tear trough area to restore the convex curve from the lower lid to the cheek.

Flowers Tear Trough Implant:

For patients with severe hollowing or an anatomically negative vector orbit, the most reliable and effective way to correct tear troughs is the insertion of tear trough implants. A Flowers Tear Trough Implant is surgically placed underneath the lower eyelid and secured to the cheek bone providing a permanent structure for lifting the area and reducing the hollow and dark circles. Ultimately, a wide range of treatment options are available to help you improve deep tear trough hollows. Each option is both safe and effective, making it easy to find a treatment that fulfills your personal needs.

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Before & After Tear Trough Correction Surgery At Skin World Pune