As we age, we lose volume in certain parts of our face while we gain volume in other parts. Generally speaking, the region around our eyes and cheeks begins to lose fat, while the jowls and neck begins to gain fat.
When we lose the fat layer along the lower eyelid region and upper cheek, the eyes begin to look hollow. This gives the impression that we're fatigued and older. In my practice, this is an important and highly emphasized sign of aging that we treat on a regular basis. My first choice for treating the hollows is Restylane for mild changes in a younger patient. In patients with more advanced volume loss that extends into the upper cheek region, fat transfer is an excellent long term solution.
I really like Sculptra in general and use it frequently to treat volume loss throughout the face. The one area that needs the most experience and technical precision is under the eyes. Treating this region can result in difficult-to-treat nodules and contour problems. However, if the individual treating you has had experience and success with this area and is aware of the different dilutions and technical issues involved, then Sculptra may be used.
