It depends. In general, there is no good non-surgical alternatives to upper eyelid surgery. For the lower eyelid, facial fillers or fat transfers can be an alternative but this depends on the severity of the tear trough deformity and your expectations. Results generally don’t last nearly as long from non-surgical treatment alternatives but there is also less downtime associated with non-surgical options. Dr. Walker will go over the various options with you during your consultation and formulate a customized treatment plan taking your wishes, personal goals, and tolerability of downtime into consideration.