Lower Blepharoplasty With Fat Grafting vs. Tear Trough Filler: How to Choose
By Nicholas Karter, MD — Double board-certified facial plastic surgeon, Karter Advanced Facial Plastic Surgery, Glastonbury, CT Medically reviewed by the author. Last updated October 6, 2026. The choice comes down to whether you have true under-eye bags or just volume loss. If you have a genuine lower eyelid bag, only a lower blepharoplasty can correct it. …



