Hereditary Hollows

I read your concern and reviewed your photos. The hollow under your eyelids is a typical groove that may be filled. My personal preference is to use Silikon-1000, an off-label filler for permanent results. You could have Hyaluronic Acid fillers as an accepted alternative, but this injection technique is deeper, and you may get a bluish hue (Tyndall effect) in the injected area. If you decide to have this performed, make sure your physician is comfortable and experienced in the... more

Your condition is VERY common. It is seen almost universally in people over the age of 50 but as early as the 20's in some. The Tear Trough (hollows) is the indentation below the convexity of the upper lid and the convexity of the cheek. It can be easily corrected by placing Restylane, a reversible, long-lasting hyaluronic-based filler, right over the bony rim of the eye socket which makes up the floor of these hollows. The results are instant. Good Luck. Dr. Peter A Aldea more

Miguel The hollow you show in the photos is called a mid-cheek groove. It occurs because of the shape of the under lying cheek bone and the volume of soft tissue overlying the bone. The best current treatment for this does not involve surgery. Rather fillers such as Restylane and Perlane are used to fill this hollow. Treatment can last up to 2 years before a top off is needed. The service is a bit of an art form so it is necessary to find an accomplished... more