This is a wrinkle that appears because of loss of volume in the fat pads under the eye. The cause of it has to do with hereditary factors, ethnicity, and lifestyle. Sometimes it’s accompanied by a dark circle around the eyes. This change can appear early in life and gives the person a “tired appearance”. A common complaint for people having this wrinkle is “I look all the time as if I haven’t slept well”. The good news is that tear trough are treatable with a dermal filler specifically meant for them! Treating tear trough makes you look very refreshed.