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good morning everybody its dr brace here welcome to facial plastics friday and were going to continue our talk about facial fillers with your request tear troughs so what is the tear trough tear trough is the little hollow that occurs right in here and this is basically where the orbicularis muscle the muscle that circles your eye inserts onto the bone right around your eye here and as we age a number of things happen the bone will recede the ligament that holds the muscle in place will get a little more lacks the male our fat pad will drop and what we end up having often is a little bit of a convexity a shadow and a convexity so a double kind of bubble little lump here so lump from the eyelid tear trough lump from the cheek and that causes a deep shadow and it bothers a lot of people it doesnt have to happen with age some people have congenital tear troughs because they have shallow eye sockets or shallow orbits which causes the rod to stick out further and for them to have a deepe