Where is the tear trough located?

Dec 22, 2021 Source: Cainiu Health
Dr. Liu Wan
Introduction
The tear trough is a concave groove extending downward from the inner canthus along the side of the nose. It lies in close proximity to the under-eye bags and results from atrophy and sagging of the soft tissues beneath the orbital rim. In severe cases, it may even extend onto the cheek. Under-eye bags are located directly below the orbital rim and appear as a relatively prominent (bulging) area, whereas the tear trough lies beneath the under-eye bags and presents as a concave depression.

Tear troughs and eye bags are very similar in appearance and can significantly affect facial aesthetics. Consequently, many individuals seek cosmetic procedures at aesthetic clinics to address tear troughs. When tear troughs appear sunken, they compromise the harmony and smoothness of the cheek contour, making one look fatigued or lackluster. Some people are born with prominent tear troughs, which may unintentionally convey a sense of low energy or disengagement from life. So, exactly where are tear troughs located?

Location of the Tear Trough

The tear trough is a subtle, curved groove extending downward from the inner corner of the eye along the side of the nose. It lies adjacent to the eye bag area and forms primarily due to age-related atrophy and sagging of the soft tissue beneath the orbital rim—sometimes even extending onto the midface in more advanced cases.

Distinguishing Tear Troughs from Eye Bags

Some people mistakenly confuse eye bags with tear troughs. However, careful observation reveals clear differences: eye bags appear as a bulging, convex area directly beneath the lower eyelid, whereas tear troughs lie just below the eye bags and manifest as a concave depression.

For individuals born with pronounced tear troughs, this can be particularly distressing, as the appearance often conveys fatigue or diminished vitality. Mild tear troughs may be camouflaged effectively with eye creams or concealer, but deeper ones pose greater challenges—even makeup may accentuate signs of aging and exhaustion.

Therefore, many opt for a relatively quick corrective solution: hyaluronic acid (HA) filler injections. HA enhances skin metabolism, improves hydration, restores elasticity, and helps delay visible signs of aging. However, successful outcomes depend not only on the injection itself but also critically on proper pre- and post-procedure care.

Because the tear trough region contains numerous delicate blood vessels, imprecise injection technique may easily traumatize these vessels, resulting in bruising or ecchymosis. To help prevent this, applying cold compresses before treatment is recommended. Post-treatment, gentle massage of the periorbital area is advised to further minimize the risk of delayed bruising.

While tear trough correction offers an effective solution when their appearance becomes bothersome, diligent post-procedural care remains essential. Inflammation is a potential complication following tear trough correction, and patients should learn appropriate self-massage techniques to avoid adverse effects.

We hope the above information has been helpful. Wishing you a joyful and healthy life!