Age 56, Hollow Under Eyes - Eyelid Surgery or Fillers?

asked 1 year ago by 3244anon in san diego
Latest answer by Elliot M. Heller, MD
Question viewed 466 times
Tags: age 55-64, under eyes, comparison, hollow

I Am 56 Yrs Old and Have Noticed "Hollows" Under my Eye Area Do I Need Lower Eye Surgery? should I have lower eye surgery to take away the hollowness or have a filler instead? thank you

5 answers to Age 56, Hollow Under Eyes - Eyelid Surgery or Fillers?

Lower eyelid surgery

Dear 3244anon, If the eye is just hollowed out, it can be filled in with a temporary filler like Restylane, or with a fat transfer which is usually more permanent. You also have to take a look to see if there are any lower eyelid bags that need to be removed during surgery. Nontheless, treating the lower eyelids has a high patient satisfaction rate because people stop asking you if you are tired. Overall it gives a nice refreshed look. Best, Nima Shemirani more

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon

Filler V. Surgery

You can use temporary fillers like Juvederm to fill the hollows under the eyes. You must be careful with this because there is a risk of lumpiness. To avoid this I would recommend a fat transfer to this are. Fat tends to be smoother and less troublesome. It also lasts longer.

Elliot M. Heller, MD
New York Facial Plastic Surgeon

Correcting lower eyelid hollows.

A photo is always helpful to assist in answering these questions. Generally if there is a hollow below the eyes, this can be improved by a hyaluronic acid filler injection, such as Restylane. This will temporarily add volume to the area and improve the appearance. Some advocate fat injections but caution should be exercised as the result isn't always predictable as to whether the fat "takes" or not. Sometimes patients impression of a hollow is due to a... more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

What to do about under eye hollows

If the area under the eyes is hollow, hyaluronic acid filler like Restylane can be used to fill it. Surgery can tighten the skin but without restoring volume to the area, it will still look hollow. Under eye hollows or circles form from loss of volume in soft tissues (primarily collagen and elastin in the skin), fat and bone of the area surrounding the eye. In order to rejuvenate the eye area, volume needs to be restored. Injections of hyaluronic acid fillers in the... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Lowerl lid blepharoplasty or fillers?

This is a difficult question to answer without a photograph to properly evaluate your complaints. Most patients over the age of 55 will be good candidates for surgery to improve this area. The type of surgery will depend on your particular aging process and what is causing the hollow appearance of the eyes. While fillers are always a possibility I tend to use them in a younger patient who is not a surgical candidate. My web reference is below and if you would like to send a photograph I... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

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