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What Are Nasojugal Lines?

Facial Concerns

March 1, 2026

AUTHOR
Sony Sherpa
MD, Manipal College of Medical Sciences

    Nasojugal lines run on a diagonal, from the inner corner of the eye down toward the upper cheek. You will see this groove under a couple of different clinical names. Most papers call it the tear-trough deformity, while older surgical texts call it the nasojugal groove.

    It sits in a narrow strip about 2 to 3 cm long, right along the lower edge of the eye socket. Even when the groove is shallow, the shadow it casts is usually the first thing that makes someone look tired in photos.

    Why do nasojugal lines affect facial aesthetic?

    Nasojugal lines come from a depression that runs between the eye and the nose. It starts at the inner corner of the eyelid, follows the bony rim under the eye, and ends near the outer corner.

    Some people are born with this depression, and others develop it as they age. Either way, it tends to draw the eye and can make you look older than you are.

    What causes nasojugal lines?

    Negative vector orbit

    A negative vector orbit means your cheekbones are flatter and less developed, so they sit further back than your eyeballs. That setup leaves the area under the eye unsupported, which is one of the things that brings on nasojugal lines. (1)

    Orbital fat prolapse

    Orbital fat prolapse is when the fat under the eye starts to shift and move around. Aging and surgery can both weaken the membrane that normally holds that fat in place. This is part of why men tend to get nasojugal lines more often than women. (2)

    Aging

    Aging thins the skin and strips away its elasticity. Once the skin can no longer hold the fat beneath it, you start to see hollows and small bulges in the area between the eye and the nose. The groove deepens over time, and in this case it is simply a sign of getting older. (3)

    Genetics

    Some people are born with a difference in skin and tissue thickness between the cheek and the area around the eye. If nasojugal lines run in your family, you may develop them over time. People with that genetic tendency usually have more noticeable lines, and they tend to deepen with age. (4)

    Facial expressions

    Some people are more expressive with their faces than others, and the collagen that supports the skin fades as we age. If the lines already run in your family, heavy expression can make them worse. It is also why some people simply look more tired than others. (5)

    Unhealthy habits

    Smoking and stress wear the face down. They speed up collagen loss, trigger inflammation, and cut the blood reaching your skin. Stress in particular is hard on your features.

    Poor sleep adds to it too. Insomnia can bring on under-eye bags, which deepen the look of nasojugal lines and make them stand out more. (6)

    How to prevent nasojugal lines?

    Plenty of home remedies and skincare products can soften nasojugal lines and freshen up your face. It is worth trying these first to see whether the lines fade before you start thinking about anything surgical.

    Facial exercises

    A number of facial exercises are suggested for wrinkles and lines like these. Some people call them facial yoga, since they relax the muscles in your face and help tighten the skin. (7)

    Prevent inflammations

    Calming inflammation in the face relaxes it and softens the signs of aging. Try to quit smoking, cut out the unhealthy food, and treat any allergies you have. (8)

    Exfoliate your nasojugal lines gently

    Dry skin makes nasojugal lines more obvious, and gentle exfoliation helps by encouraging new skin cells to grow. Some skincare products are made specifically for the wrinkles under the eyes, so it is worth tracking those down.

    Stay away from harsh, low-quality products that could damage the delicate skin there. (9)

    Keep your face moist

    Some skincare products genuinely help with nasojugal lines. The good ones boost blood flow and encourage new cell growth. Look for retinol, peptides, or hyaluronic acid, and reach for gels and serums, since those tend to work best. (10)

    Use sunscreen, sunglasses, and a hat

    Sun and UV exposure make nasojugal lines worse. Wear sunscreen of at least SPF 30 whenever you are out in the sun. Sunglasses and a hat add another layer of protection. (11)

    Eat healthy foods

    Foods rich in vitamin C, vitamin A, and vitamin E help your skin make new cells and fight off inflammation and oxidative stress. Eating well does more for firm, youthful skin than products do, especially if you also cut back on junk food. (12)

    How to treat nasojugal lines?

    Chemical peels

    Chemical peels are a common choice for nasojugal lines, fine wrinkles, and loose skin. They clear away dead skin cells and encourage new ones to grow. Paired with the preventive steps above, the lines tend to fade gradually. (13)

    Dermal fillers

    Dermal fillers work well here, since the lines come from hollows and grooves in the first place. They add volume to the face and the area around the eyes, though the effect is temporary and lasts anywhere from six months to two years. Restylane and Juvederm are the usual choices for this area. (14)

    Microdermabrasion

    Microdermabrasion is a good fit if your grooves are mild and your skin is sensitive. It clears away dead skin cells and boosts blood flow, which freshens up the muscles in your face and tightens the skin. (15)

    Laser treatment

    Lasers can treat nasojugal lines too. There are many kinds for facial wrinkles, but fractional lasers are the best option for this area. (16)

    Micro-needling

    Microneedling uses tiny needles to prick the skin, followed by creams and serums that help it heal and produce more collagen. After a session, the lines start to fade and your skin texture improves noticeably. (17)

    Botulinum toxin injections (Botox)

    For Botox, a small dose of botulinum toxin goes into the area between the eyes and the nose. It relaxes the targeted muscles, which softens the wrinkles over time. Most people see real results after three to five days, and after about four months the lines can disappear completely. (18)

    References

    1. 1

      Rajabi MT, Gholipour F, Ramezani K, Hosseini SS, Rajabi MB, Tabatabaie SZ. "The influence of orbital vector on involutional entropion and ectropion". Orbit. 2018;37(1):53-58. doi:10.1080/01676830.2017.1363786

    2. 2

      Tejo, C. R., da Costa, P. A., Batista, R. M., Rocha, Y., & Borba, M. A. (2017). Subconjunctival fat prolapse: a disease little known to radiologists. Radiologia brasileira, 50(4), 272–273. https://doi.org/10.1590/0100-3984.2015.0229

    3. 3

      Renton, K., & Keefe, K. Y. (2018). Accurately Assessing Lines on the Aging Face. Plastic Surgical Nursing, 38(1), 31–33. doi:10.1097/psn.0000000000000213

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      Richmond, S., Howe, L. J., Lewis, S., Stergiakouli, E., & Zhurov, A. (2018). Facial Genetics: A Brief Overview. Frontiers in genetics, 9, 462. https://doi.org/10.3389/fgene.2018.00462

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      Hess, U., Adams, R. B., Jr, & Kleck, R. E. (2009). The face is not an empty canvas: how facial expressions interact with facial appearance. Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 364(1535), 3497–3504. https://doi.org/10.1098/rstb.2009.0165

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      Ernster, V. L., Grady, D., Miike, R., Black, D., Selby, J., & Kerlikowske, K. (1995). Facial wrinkling in men and women, by smoking status. American journal of public health, 85(1), 78–82. https://doi.org/10.2105/ajph.85.1.78

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      De Vos MC, Van den Brande H, Boone B, Van Borsel J. Facial exercises for facial rejuvenation: a control group study. Folia Phoniatr Logop. 2013;65(3):117-122. doi:10.1159/000354083

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      Lin, T. K., Zhong, L., & Santiago, J. L. (2017). Anti-Inflammatory and Skin Barrier Repair Effects of Topical Application of Some Plant Oils. International journal of molecular sciences, 19(1), 70. https://doi.org/10.3390/ijms19010070

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      Grajqevci-Kotori, M., & Kocinaj, A. (2015). Exfoliative Skin-peeling, Benefits from This Procedure and Our Experience. Medical archives (Sarajevo, Bosnia and Herzegovina), 69(6), 414–416. https://doi.org/10.5455/medarh.2015.69.414-416

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      Randhawa M, Wang S, Leyden JJ, Cula GO, Pagnoni A, Southall MD. Daily Use of a Facial Broad Spectrum Sunscreen Over One-Year Significantly Improves Clinical Evaluation of Photoaging. Dermatol Surg. 2016;42(12):1354-1361. doi:10.1097/DSS.0000000000000879

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      Cao, C., Xiao, Z., Wu, Y., & Ge, C. (2020). Diet and Skin Aging-From the Perspective of Food Nutrition. Nutrients, 12(3), 870. https://doi.org/10.3390/nu12030870

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      Rendon, M. I., Berson, D. S., Cohen, J. L., Roberts, W. E., Starker, I., & Wang, B. (2010). Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. The Journal of clinical and aesthetic dermatology, 3(7), 32–43.

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      Sturm LP, Cooter RD, Mutimer KL, Graham JC, Maddern GJ. A systematic review of dermal fillers for age-related lines and wrinkles. ANZ J Surg. 2011;81(1-2):9-17. doi:10.1111/j.1445-2197.2010.05351.x

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      El-Domyati M, Hosam W, Abdel-Azim E, Abdel-Wahab H, Mohamed E. Microdermabrasion: a clinical, histometric, and histopathologic study. J Cosmet Dermatol. 2016;15(4):503-513. doi:10.1111/jocd.12252

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      Heidari Beigvand, H., Razzaghi, M., Rostami-Nejad, M., Rezaei-Tavirani, M., Safari, S., Rezaei-Tavirani, M., Mansouri, V., & Heidari, M. H. (2020). Assessment of Laser Effects on Skin Rejuvenation. Journal of lasers in medical sciences, 11(2), 212–219. https://doi.org/10.34172/jlms.2020.35

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