I often get inquiries about what is orbital septum release tear trough filler? Is it removing fat from the orbital septum and then injecting it into the tear trough? First of all, there are really two ways to do this. The first and most common is to leave a portion of the excess fat during the eye bag removal process, then open up the orbital septum and make a small gap with the underlying bone surface, and then fill the tear trough with a small portion of the excess fat with its blood circulation. The advantage of this is that it is transplanted with blood circulation, the survival rate is higher, and the effect is permanent once the fat has survived. However, if the blood circulation is blocked by too tight a suture at the time of fixation, some of the fat may slowly liquefy and eventually be replaced. The second method is the one I recommend, where the fat is injected into the tear trough by removing the broken fat. Although the survival rate is not as high as the first method, it does not destroy the ligament that connects the tear trough to the periosteum under the orbital septum and maintains the normal tissue structure. Of course, in practice, both methods are correct and can be used, but as for which one to use, it is better to listen to the doctor’s opinion after discussing it with the doctor in an interview.