This tear trough or fatty bulge can create a shadow under the eye in certain lighting that can create the appearance of tiredness. These features can be associated with a degree of pigmentation (darker skin) and also swelling around the eye (Periorbital swelling).
The eye area has to be assessed by Dr Rory closely as many of the conditions discussed may coexist and so treatment must be tailored specifically. Non-surgical approaches range from Juvederm fillers to correct the tear trough to pigmentatio treatments or approaches to reduce swelling around the eye. Surgical treatments range from lower eyelid surgery (Blepharoplasty) to laser resurfacing of the skin and can be used in combination.