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Safest and Most Effective Treatment for Hollow Eyes?

asked 2 years ago by ckone78 in ohio
Latest answer by Francis R. Palmer, III, MD
Question viewed 9,216 times
Tags: dark circles, hollow

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!

8 answers to Safest and Most Effective Treatment for Hollow Eyes?

+1

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.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+4

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

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+2

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

New Orleans Plastic Surgeon
+2

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.
William Portuese, MD

Seattle Facial Plastic Surgeon
+2

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
S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon
+1

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

Irvine Dermatologic Surgeon
+1

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

Los Angeles Oculoplastic Surgeon
+1

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
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon

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