Hi and thank you for sharing your question here! Some people genetically have very deep tear troughs which may extend all the way down to the cheeks. As your skin laxity is still good, you can take advantage from filler injections under the eyes (such as Restylane or Volbella) combined with Voluma injection at the cheeks and junction of the cheek and eyelid and get the best aesthetic results. Due to the sensitive nature of the procedures, please make sure to find an experienced physician with great skills in performing injections in the mid-face area and someone with a holistic and comprehensive approach to the face rejuvenation. The injection can be done with flexible micro-cannula to get the best aesthetic results and less bruising. I hope it helps and good luck!
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