Patients seeking eyelid surgery often have visible signs of aging before needing a facelift. As the main muscle for eyelid closure, the orbicularis determines much of these aging effects. If the retaining ligament sags, then tear troughs develop. Dr. Barrera will address the tear troughs with eyelid fillers like Restylane. Patients wanting a more permanent correction can benefit from a repositioning of the orbital fat into the hollow areas of the cheek. Fat mobilization of the lower eyelids can also be done to treat deep tear troughs or prominent nasojugular grooves.