(A) The same Group 1b 25-year-old female shown in Figure 5 presented with dark lower lid circles. (B) The lower eyelid dark circle is due to structural retrusion of the maxilla. The triangle shows the position of the underlying structural bony deficit and indicates the optimal placement of filler in the medial suborbicularis oculi fat pad and deep medial cheek fat pad to achieve correction. (C) Three months post injection with a small volume of soft hyaluronic acid filler, showing an elevation and effacement of the lid-cheek junction and improved appearance of dark circles without actual treatment of the lower eyelid region.