Undereye dark circles and hollowness. What is the best solution to fix this problem: fat transfer or blepharoplasty? (Photo)

Under a dark circles is not an uncommon situation.You may have some mild bags that are contributing to the process. With your face in the normal position, light usually comes from above and shadowing can occur below these bags which highlight the circle under your eyes. When you tilt your head back there is less shadowing. Depending on the quality of your skin and the looseness of your skin, blepharoplasty may help. Fat transfer also plays a role and if your skin is in reasonable shape, precise placement of fat may fill out the area below the bags. Sometimes a combination of both is required for optimal results. A good exam is necessary.

Your dark circles may be partially a shadow effect since they improve with more direct lighting with your head tilted back. However the best options for the hollows are fat transfer and certain HA fillers, such as Belotero or Restylane. See a facial plastic surgeon for a consultation.