Tear troughs and eye bags are a brother and sister, a difficult pair, they often coexist and only recently they are often mentioned. The cause is the atrophy and sagging of the soft tissue at the lower edge of the orbital septum. In the past, people only focused on the bags and ignored their existence, so the treatment of the entire lower eyelid only focused on removing the protruding bags, leaving the sunken tear troughs unattended; therefore, many patients often complain about the post-operative sunken feeling or feel that the bags were not removed. In fact, the real reason is that the problem is only half solved. What is tear trough? Tear trough is a groove that starts from the inner corner of the eye and appears on the nasal side of the lower eyelid, formed by the atrophy and sagging of the soft tissue at the lower edge of the orbital septum. In some cases, it may even extend to the cheeks. Because of the contrast between the sunken tear trough and the surrounding skin, the lower eyelid tissues look bloated and bulging, making them easily perceived as bags under the eyes, but in fact that is just the illusion of deepening tear troughs. How do tear troughs form? Tear troughs are usually congenital and are often more pronounced in people with thinner skin under the eyes than in the general population. This is because young people have more subcutaneous fat and tighter skin, so there is only a vague outline. However, as we age, the subcutaneous fat shrinks, the skin thins and sags due to reduced elasticity, and the tear trough on the inner side of the lower eyelid becomes visible, thus revealing the “bags under the eyes”. Can tear troughs be eliminated? The appearance of tear trough tends to give people a haggard impression, through plastic surgery, the following two means can be used to eliminate tear trough: 1, autologous fat filler; 2, hyaluronic acid injection. Autologous fat filling 1, suitable for people: suitable for those who have facial filling, shaping, body shaping needs; 2, customized surgical solutions: standard practice on if the problem is entirely tear trough, to autologous fat injection way to do; if combined with eye bags, line to remove the danger of eye bags, and then waste the appropriate amount of eye bags fat implantation, such practice is sufficient for mild, moderate eye bags, but for severe depressions tear trough pits you still can not meet. Each person’s situation varies, you also need to consult a professional doctor, according to their own situation to set the corresponding suitable for their own surgical program; 3, formal institutions and experienced physicians is the key: although the principle is simple, but to fill the beautiful flat, can require the operator’s delicate technique skills and extensive experience. In terms of the survival rate of the implanted fat, for mild and moderate cases, once or twice is enough, but for more serious depressions, 2-3 sessions are needed; 4.