The tear trough is a depression that appears from the inner corner of the eye and extends down the lid, near the side of the nose. It can be present alone or may accompany bags under the eyes. From the picture, it looks like a minor problem. But why are there so many “failed fillers”? The reason is: the tear trough is a different area, the skin is particularly thin (almost a layer of skin, there is no fat layer), the anatomical structure is complex, and the blood vessels (capillaries) are abundant. Playing deep, playing shallow, playing the wrong place, this is the “problem”. For example, if you hit too deep, you can’t lift the tear trough; if you hit too shallow, you can easily have problems (sometimes it activates the melanin activity in the superficial layer of the skin, leading to pigmentation), although the early effect is very good. If the angle is not precise, it may miss. If you hit on the orbital fat, it will cause the orbital fat to swell and form a pseudo eye bag. Hitting on the orbicularis oculi muscle causes fiber wrapping and tends to gather into a mass. What is the correct practice when tear trough problem occurs? 1.Select a regular hospital for consultation (the doctor at least has a physician’s license and is familiar with the anatomy of the human body, so it is unlikely that the situation of playing deep, shallow or off). 2, according to the tear trough situation to choose the method, not blindly fill. Is it a simple tear trough problem, or is it the coexistence of eye bags and tear trough? In addition to the tear trough depression is obvious, is also accompanied by heavy eye bags, skin relaxation, fat loss is obvious? These are all questions to consider. Simple tear troughs – hyaluronic acid or tumescent fillers are fine. Eye bags type tear trough – generally advocate the release of orbital fat Aging type tear trough – often only rely on the removal of eye bags and fill tear trough and other ways, and can not completely solve the problem, the difficulty is also greater, at this time need to carry out comprehensive treatment. 3.Good post-operative care.