The teardrop sign is secondary to opacification of the upper maxillary sinus from herniated orbital fat.
Herniation of orbital fat, the inferior rectus muscle, and the inferior oblique muscle may occur and herniated extraocular muscles entrapped between the fragmented bone segments may lead to diplopia.
Bags under the eyes of the lower eyelid skin, subcutaneous tissue, muscle and orbital septum relaxation, orbital fat hypertrophy, protruding bag process.