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For many people with dark circles beneath the eyes, it’s just a matter of getting more sleep. But for some, especially those with a tear trough deformity, the dark circles are actually a reflection of a narrow channel or furrow that developed beneath the lower eyelid. It sounds a lot more serious than it actually is, so don’t be alarmed if you see this under your own eyes. You can tell if you have a tear trough deformity, as when shedding tears, they don’t run straight down your face but to the sides, due to the little channel under the eyelid.

Some people develop a tear trough deformity with age, while others just genetically end up with one. When the light hits the deformity, the furrow makes a shadow, giving the impression of dark circles beneath the eyes. This can easily be treated by injecting some dermal filler in the area to resolve the problem. If, however, you have puffiness under the eyes that doesn’t go away with adequate sleep, this may need treatment through cosmetic surgery, called a lower blepharoplasty. With this operation, I can release the tight attachment in that area and transfer some of the fat from around your eye to fill in the tear trough.


In my Pasadena Cosmetic Surgery practice, I’ve also found Juvederm to help as a treatment to get rid of that shadowy area. It fills the area nicely, is an easy gel to insert and lasts long enough to satisfy those with this problem. Call us if this is an issue for you and let’s see how quickly we can help you get rid of it!


To your health & beauty,

Dr. Martin O'Toole