Tatjana’s cheeks have lost a substantial amount of volume, making her face appear longer and indirectly impacting the area under her eyes as well.
A nasolabial fold is starting to emerge at the side of her nose, making it appear longer while at the same time intensifying the effect of gravity.
And the natural loss of bone from her cheeks has left the under-eye area somewhat flatter, allowing the skin to sag. This negatively impacts the circles under her eyes, intensifies the nasolabial fold, and diminishes the definition of her jawline.
We therefore first need to treat the changes that have occurred in the central part of Tatjana’s face (the area between the eyes and the chin), since they intensify the circles under her eyes, in order subsequently to achieve a sustainable result with the tear trough and dark under-eye circles.