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Safest and Most Effective Treatment for Hollow Eyes?

I have hollow eyes (from missing fat) which causes the dark eye circles and makes me look tired all the time. I'm seriously considering plastic surgery but want to make the safest, most effective decision. I've heard Juvederm and Restylane injections are best. but then some say fat transfer is another good option. Will there be surgical incisions to insert the fat vs. laser? I'm so confused.

Has anyone actually gotten these procedures done, and have recommendations on which has worked for them? What would doctors that recommend on which ways are the most safest and long-lasting? HELP!

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9 Doctor Answers | Asked by ckone78 in ohio

Doctor Answers (9)
Community Comments (1)

Lower eyelid surgery

Please post pictures and that can help us to give better recommendations. Injectbles like juvaderm and restylane are good option but they are not long lasting. fat injection last longer but some times you see the uneven fat pockets. Lower eye lift is most long lasting and also it safe if done by qualified surgeons

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Filler and fat injections are not recommended for the orbital area.

We do not recommend injectable fillers placed in the orbital area. We have seen too many complications from these with long-term edema that just simply does not go away. The results from fat injections have been very inconsistent, and we do not recommend that either. There is really not much of an option for simply hollow eyes other than makeup for the dark circles.

Tough Problem to Correct

This is one of the toughest problems in facial plastic surgery in my opinion. We have tried to make it look simple with the recent trend of injecting hyaluronic acid. However as many of us have noted the rate of problems in this area can be as high as 10% including prolonged swelling, bruising, or irregularities and lumpiness. On the other hand these problems can be even worse with fat injection to the area. And of course there are even the rare cases of blindness that have been... more

Safest and Most Effective Treatment for Hollow Eyes?

Treatment of the lower eye are soft tissue deficit has evolved into using fillers due to the loss of volume in this area. Presently Restylane works well to fill these hollows and rejuvenate the face.

Safest and Most Effective Treatment for Hollow Eyes?

It would be helpful to see photos of your lower eyelids in order to make a meaningful evaluation regarding fillers versus surgery. Fillers work great but they do add volume, so if you have fat bags a filler won't make the bags smaller or go away.

Safest and Most Effective Treatment for Under Eye Hollows

With each passing year I find myself performing less 'invasive' lower lid surgery (i.e a formal lower blepharoplasty) and more lower lid rejuvenation by means of structural fat grafting. The reality of aggressive lower lid surgery - which involves some combination of skin excision, fat pad reduction and/or fat pad transposition, orbicularis (muscle) redraping and excision, and canthal support (to hold up the lateral aspect of the lower lid while everything heals) - can easily... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Restylane injection is your best choice

The best treatment for hallowness under the eyes is injection of Resylane. Other Hyaluronic acid fillers such as Juvederm or Prevelle silk may also work well but somehow juvederm causes more swelling in this area. The only problem is there is a good chance of bruising and occasional lumpiness. So this procedure should be done by an experienced Physician injector

Nissan Pilest, MD

4 reviews

Irvine Dermatologic Surgeon

Surgery is often unsatisfactory for hollow eyes

Dear Ckone Under eye filling with Restylane has now become the number one best option for this area. Restylane seems to hold much better than Juevederm for this area. The Restylane is more cohesive than the Juvederm. The Restylane tend to stay in the treated area for about a year. The treatment can easily be adjusted if there are any issues. Fat transfer often appears lumpy in the lower eyelid. In fact, Restylane is often used to improve lower eyelid regularities following fat transfer. I... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Restylane is your best bet for hollow eyes

Treating the hollow area under the eyes requires a great deal of skill. However, many patients get excellent results with the correct treatment. Any filler will add volume under the eyes. The issue is which type of volume enhancement is the best option. In my opinion the best option for under the eyes is Restylane. There are various reasons why under eye treatments get less than 100% positive results, Lower eyelid skin tends to be very thin and sits directly over the bone. For that... more

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Comments (1)

Happy with my Juvederm 12 Feb 2013

Hi. I just recently had my first juvederm treatment in my tear trough area and am very pleased with the results. My dark circles and puffiness are not completely gone but majorly improved. My doctor used approximately half of my syringe for both eyes and asked that I come back in about a month to see if I would like to use the rest. He said that less is more and that he wanted to use a conservative amount to avoid overfilling. I am planning on returning and requesting a tiny bit more to completely eliminate my dark circles. The procedure only lasted about 20 minutes or so and I was able to apply makeup shortly after. It did hurt some but worth the pain considering the gain.

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