The tear trough is a concave groove that begins at the inner corner of the eye and appears on the side of the lower eyelid against the nose, and is created by atrophy and sagging of the soft tissues at the lower edge of the orbital septum. In some people, the tear trough extends to the cheek, known as the blepharocheek groove. The tear trough (sulcus) and the buccal blepharoplasty groove extend into each other to form a continuous groove in the infraorbital region. Deepening of the tear trough (sulcus) and buccal lid groove is one of the most important signs of periorbital aging. As the depression of the tear trough contrasts with the surrounding skin, it makes the lower lid tissues look a bit bulky and protruding, which can easily be perceived as bags under the eyes, but in fact, that is just an illusion given by the deepening of the tear trough. Currently, common methods to correct deepening of the tear trough and cheek lid sulcus include: autologous or synthetic fillers, orbicularis oculi muscle relaxation, resetting of periocular adipose tissue with vascularized tips, mid-face lifting, and excision of prolapsed adipose tissue. Hyaluronic acid (hyaluronic acid) fillers for tear troughs and blepharoplasty are immediate and virtually non-invasive.