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so letamp;#39;s talk about tear trough fillers so to start tear troughs or when you have basically hollowness underneath the eye for a lot of patients especially black patients this is due to um this is congenital so you were born that way and one of them my kids are the same another reason why you might have tear troughs is because of weight loss because you start to lose volume in this area when you lose weight and another reason you could have it is just due to aging in general when i do consultations only 50 percent of the patients that i see are actually great candidates for tear shock fillers so you want to make sure that you go to somebody who knows what theyamp;#39;re doing in terms of fillers that can be used i like classic restylane underneath the in the tear shock area some people use bellotaro but i prefer restylane i start with one filler and we split it between both eyes less is more in the teardrop region and the reason for that is hyaluronic acid fillers or hydrophili