Tear Trough Augmentation in Houston, TX

The delicate groove between the lower eyelid and the upper cheek—the tear trough—naturally loses volume due to genetics, aging, or weight loss. This hollowing creates shadows that resemble dark under-eye circles.

Rejuvenating the Under-Eye Area

Tear trough augmentation is an intricate, nonsurgical procedure in which Dr. Hamilton strategically injects tiny microdroplets of dermal filler to restore volume under the eyes. The treatment instantly fills in hollowness, softens fine lines, and camouflages under-eye bags—creating a brighter, more youthful, and refreshed appearance. A smooth, seamless transition from the tear troughs to the upper cheeks helps reflect light beautifully, enhancing the upper face.

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How Tear Trough Augmentation Enhances the Midface
Fat Transfer
Lower Eyelid Surgery For More Permanent Results

How Tear Trough Augmentation Enhances the Midface

Tear trough augmentation is often combined with cheekbone contouring, where dermal fillers add definition and volume to the cheekbones. Because the under-eye area and cheeks form a connected anatomical unit, treating both enhances overall rejuvenation in the upper third of the face.

This combination creates defined cheekbones, smooth transitions, and softer contours, allowing light to reflect more evenly for a camera-ready glow. Patients often appear more awake and revitalized, as the combination refreshes the entire facial aesthetic.

Tear Trough Augmentation Before & After

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Fat Transfer: A Natural, Long-Lasting Alternative

Dr. Hamilton also offers fat transfer as an alternative to dermal fillers for both tear trough and cheekbone augmentation. In this minimally invasive surgical procedure, a patient’s fat is extracted via liposuction, processed, and then injected to add natural-looking, long-lasting volume. This approach can soften the under-eye area, sculpt the cheekbones, and create a smooth transition from lower eyelids to midface, with long-lasting results that can persist for years.

For More Permanent Results: Lower Eyelid Surgery

For patients with more significant under-eye concerns, lower eyelid surgery (lower blepharoplasty) may be recommended in combination with tear trough augmentation. Whether performed with dermal fillers or facial fat grafting, this surgical procedure offers more comprehensive rejuvenation, especially when skin laxity or under-eye bags are present. Together, these techniques refresh the entire lower eye area, restoring a brighter, more youthful look that helps patients feel radiant and confident.