As you age the hollow between the eye area and the upper cheek can deepen, creating a tired look. Tear troughs or dark circles under the eye forms a groove that lies beneath the lower eyelid. Sometimes the tear trough is exacerbated by a puffy lower eye lid. Bagginess under the eyes cannot be removed without surgery.
The tear trough can be softened by injecting a dermal filler. This is a subtle treatment but one that can make a significant improvement to this area.