The appearance of lower lid bags or dark circles is multifactorial. The frequent patient complaint of ‘‘dark circles’’ is often caused by a tear trough deformity.

A prominent tear trough deformity is characterized by a sunken appearance of the eye   that results in the casting of a dark shadow over the nasal lower eyelid giving the patient   a fatigued appearance despite adequate rest.

Tear trough deformity is characterized by loss of subcutaneous fat and thinning of the  skin over the orbital rim ligaments combined with midface descent. It is often related to forward projection of the bone of the upper cheek, and it may be more common in  patients with either congenital or age-related maxillary hypoplasia.

Treatment for this condition can be either surgical or by using minimally invasive techniques such as injection of a filler. During a consultation  Dr. Glavas will evaluate the degree of the tear trough and recommend the indicated treatment for the optimal result.


For more information about correction of tear trough or to schedule an appointment please call  617-262-0070 or contact us by email by filling in the form below