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African-American female patient complaining of the "bags" under her eyes. Procedure: Lower Blepharoplasty - Fat Repositioning. Comment: In the oblique pre-operative view (left), the patient has a moderate amount of lower eyelid fat and a "tear-trough" deformity (hollow-appearing ridge near the corner of her eye). Standard fat removal would make the hollowness worse. In fat repositioning, the fat is repositioned into the hollow region making the "tear-trough" either less hollow or not deeper.