A youthful periorbita is essential in facial rejuvenation . Injecting the periorbital region requires a deep understanding of anatomy , filler characteristics, possible complications, and treatment goals. The tear trough deformity is characterized by a sunken appearance of the lower lid that may yield a dark shadow resulting in a tired appearance. An esthetic lower eyelid should have a smooth transition to the cheek/malar subunit with no obvious discoloration. The article will present important understanding of anatomy, possible complications, and management, and will compare needle or cannula to achieve safer, reliable results. Finally, the senior author's personal technique using both needle and cannula injection will be described.