What Can I Do For My Deep Grooves and Thin Skin Under Eyes? (photo)

im 35, i have great skin, minimal fine lines... i just had my first filler placed in my smile lines bc having such full deep cheeks... however i cannot wear enough concealer to cover the deep grooves under my eyes above my cheeks. i was told im not a good candidate for a filler my skin is so thin under eyes because with my ski in tends to be very dark and thin under eyes --it would prob make them look darker and blueish... im looking for some direction..

Doctor Answers (5)

What Can Be Done For Deep Grooves and Thin Skin Under Eyes?


Filler is actually a reasonable option. It just needs to be placed more deeply to prevent the Tyndall effect - blue discoloration from superficial filler placement. The results should last up to one year. The more durable option is a lower eyelid procedure where the small lower eyelid bag is advanced into the groove to give the lower eyelid/ cheek junction a more youthful appearance. I hope this information is helpful.

Stephen Weber MD, FACS

Weber Facial Plastic Surgery

Denver Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Fat will do the Trick


Thank you for the photos.  Fat is the answer.  Fat redraping through a blepahroplasty or fat injection. 


Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Deep grooves and hollowing under eyes


You have significant hollowing in the lower eyelids and upper cheeks which can lead to a "tired" appearance. You would be a good candidate for filler injections, but I would recommend treatment of both the lower eyelids and cheeks to achieve the best results. There is a risk of some bluish discoloration, but I suspect this risk of this being a big issue is fairly small. If you didnt like it, the filler could always be dissolved. Other doctors might recommend fat injection, but I tend to like Restylane better in the under eye area. Aside from the hollowing under the eyes, you have a very youthful looking face and I suspect that treating this one area will make a big difference for you.


Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 92 reviews

Deep Grooves Under Eyes


Hi Sing.  You are a great candidate for tear trough injections.  While surgery is an option too, most of our younger patients do not opt for surgery at a young age.  Restylane would be a great option to fill in the grooves you highlight in the photo.  It's likely that it would take about 2 cc's of product and last about a year.  In our practice this procedure costs around $1,000 for 2 cc's.  

View the photos below for results with the procedure.  Thanks.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Eyelid bags


You are a candidate for lower blepharoplasty and fat transposition to tear trough.   You are also a candidate for non surgical fillers to tear trough.  Products like restylane fine line, juviderm refine, teosyal are excellent in this area.    There is also a role for PRP to enhance skin quality. 

Philip Solomon, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 33 reviews

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