Volume loss along the lower eyelid area. It is most often due to aging can result in under eye circles or shadows. Tear trough deformity refers to a specific area of infraorbital rim hollowing that is located medially closer to nose. Injectable fillers can help address infraorbital rim hollowing. In cases where there is also prominent fat pockets, the excess fat can be repositioned to improve the infraorbital hollowing at the same time as a lower lid blepharoplasty.