The hollow area under your eyes, the tear trough, has a number of cause s. It is important to identify the cause(s) before jumping into a cure! The muscle which aids in closing the eye is attached to the facial bone at the tear trough and causes a depression which can become worse if fat from inside the eye pushes (herniates) outward and becomes more prominent as te lower eyelid skin becomes lax or loose and hangs over the area. Both of the above causes lead to shadowing and that tired look.
Fillers "plump" the tissues and minimizes (temporarily) the shadowing...however the skin and muscle are thin and can bruise easily. Also, filler applied too close to the skin can be seen as a blue streak, similar to a long-standing bruise.
Filler use in this area, as far as I know, is "off- label" and is not FDA approved currently.
In skilled hands and with experience, fillers in this area work great. Ask your Board certified Plastic Surgeon, what other fillers (other than the hyaluronic acid fillers you list) may also work in this area and might leave less prolonged blue streaking.
I hope this helps!
Good Luck!
Dr. C
