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so for justine were going to treat the tear trough so just look up the way for me for a second thanks so the tear trough is this hollow junction that runs down at the junction between the eyelid and the cheek some people develop the tear trough deformity as part of the aging process some people are just born with it and thats just their anatomy but the way that we correct this is by reinflating one of the fat pads below the eye now one of the things that we really need to be careful that we dont do is just fill into the groove because if you just fill into the groove it just makes a sausage-like um bulge in this area that we absolutely do not want so im going to go into a fat pad called the souff suburbicularis oculi fat which sits in here below the muscle and below the orbital rim so well reinflate that and thats going to take away the vast majority of the groove and then at the end depending on how much how effective thats been i may well put a tiny little drop superficially