08/20/2026
Another fantastic Aesthetic Surgery Journal club for the books, this time discussing the with our expert author Mohammed Alghoul and our expert discussants Chia Chi Kao, MD Dr. R Brannon Claytor . .
The key takeaway? For the tear trough, treatment depends on severity and anatomy. . .
A very subtle tear trough? Maybe a little filler in the office. . .
A little more prominent and deep, plus fat pads under the eye that are pooching? A lower blepharoplasty with fat transposition. . .
No lower eyelid fat pads that are pooching or maybe need more volume to correct it than the lower eyelid fat pads can provide? You may need a little fat transfer from another part of your body. . .
And finally, if the problem is bone deep and the facial skeleton needs to be augmented too? A silicone implant, with some fat transfer on top. . .
Your board certified plastic surgeon can help guide you as to the best treatment for you.