A variety of techniques have evolved to address this cosmetic issue. The tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues. Under-eye circles caused by tear trough deformity can be confirmed and shown to the patient along with their disappearance when the patient is photographed using flash photography. A prominent tear trough deformity is characterised by a sunken appearance of the globe that results in the casting of a dark shadow over the lower eyelid, giving the patient a fatigued appearance despite adequate rest, and is refractory to attempts at cosmetic concealment. Tear trough deformity is a major concern in a lot of individuals seeking periorbital rejuvenation. The technique of the author has also been described here. Techniques of different authors were analysed and their results and complications have been summarised. Data specific to the historical aspect and anatomy of tear trough have been enumerated.
Various original research articles, text book publications and review articles were studied. Treatment is now tailored towards specific anatomic abnormalities and often employs multiple modalities including surgery, botulinum toxin, and replacement of volume. Traditional techniques relied on surgical excision of skin, muscle, and fat as well as chemical peels.
A prominent tear trough deformity is characterised by a sunken appearance of the eye that results in the casting of a dark shadow over the lower eyelid, giving the patient a fatigued appearance despite adequate rest, and is refractory to attempts at cosmetic concealment.
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