Endoscopic Tear Trough Correction

Tear trough deformity—those deep, shadowed lines running from the inner corner of your eye down toward your cheek—is one of the first signs of facial aging. This hollowing makes you look tired, older, and less refreshed, even when you’re well-rested.

Endoscopic tear trough correction is a minimally invasive surgical solution that restores lost volume and smooths the transition between eyelid and cheek using your own natural fat. Performed simultaneously with our Trinity Lift (endoscopic mid-face lift) as one comprehensive procedure, this technique delivers dramatic, natural-looking results with scarless outcomes and faster recovery.

Traditional tear trough treatments—like injectable fillers or implants—address only the surface. Our endoscopic fat grafting technique fixes the underlying problem by restoring structure and volume from within.

Key Advantages

Anatomical Integrity Unlike older techniques, the endoscopic approach preserves the delicate structures of the lower eyelid. No external incisions. No muscle denervation. No disruption to eye support.

Precise Volumetric Restoration Working under direct magnified vision, your surgeon places fat grafts into a subperiosteal pocket created along the tear trough. This ensures exact placement and natural contours.

Scarless Results All incisions are made within the hairline during the Trinity Lift procedure. No visible external scars. No donor site morbidity.

Long-Term Stability The fat graft is naturally supported by the repositioned mid-face during the lift. No fixation needed. Our 12-month follow-up data shows stable results with no fat migration or resorption.

Sustainable Outcomes Because this uses your own living tissue (autologous fat), results are permanent. Unlike fillers that require ongoing injections, this is a one-time solution.

Single Simultaneous Procedure: Trinity Lift + Tear Trough Correction

Step 1: Access

• Small 3-cm incision made above the hairline on each side
• Gentle blunt dissection through tissue planes
• Endoscope guides the surgeon with magnified vision

Step 2: Mid-Face Lift Dissection & Fat Harvesting

• Subperiosteal dissection created for the Trinity Lift
• Infratemporal fat (deep temporal fat pad) is carefully harvested during this dissection
• Located within the same surgical field—no second incision needed

Step 3: Tear Trough Recipient Site Preparation

• Subperiosteal pocket created along the nasojugal groove
• Extends from the orbital rim down along the tear trough
• Medial and lateral positioning precisely planned

Step 4: Tear Trough Graft Placement

• Fat graft is placed into the prepared pocket
• Positioned under direct magnified vision for accuracy
• Natural pressure from the repositioned mid-face supports the graft—no sutures required

Step 5: Trinity Lift Completion

• Mid-face lift is lifted and suspended into new position
• Comprehensive facial rejuvenation achieved in one unified procedure
• Tear trough correction is fully integrated with the mid-face lift results

Total Surgical Time: Single combined procedure (3–4 hours total)

Ideal candidates for endoscopic tear trough correction have:

✓ Visible tear trough deformity (Grade I or II)
✓ Age 30–45 (optimal for endoscopic approach)
✓ Good overall eyelid and facial structure
✓ Realistic expectations
✓ Commitment to Trinity Lift procedure
✓ No heavy orbital fat herniation
✓ No significant lower eyelid laxity

Not suitable if you have:

• Severe lower lid deformity requiring blepharoplasty
• Age over 45 (may require deep plane facelift in addition to or instead of endoscopic approach)
• Severe skin laxity or drooping
• Previous eyelid surgery with significant scarring
• Active eyelid conditions
• Do not want or need mid-face rejuvenation (Trinity Lift is required)