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This is a 39 year old lady from Pittsburgh who was very concerned about the tear troughs under her eyes that gave her the appearance of dark circles in that area of her face. She also did not like the crowsfeet lines on the skin between her eyes and her sideburns. She was treated with Restylane® to her tear trough deformity and Botox® Cosmetic to her crows feet. When treating the under eye area there are a number of good options, some surgical, and others non-surgical. It’s useful to talk with a surgeon who can discuss both of these treatment approaches. I think patients make the best decisions about their care when they are fully informed about the range of options.