Hollow Under Eyes - Fillers or Fat Grafting?

Hi drs I suffer from hollow dark under eyes, i have researched both fillers and fat grafting but still unsure. im worried the filler will leave lumps.with fat im concerned it will be non reversible if it goes wrong.I prefer idea of fillers as less recovery time. Im only 25yrs (female) but have lost alot of volume under my eyes. i look foward to ur expert opinions. thanks Nora

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5 Doctor Answers | Asked by nora84 in Dubai

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Composite Fat Grafting Not Fillers Best For Hollow Eyes

Thank you for your question. My answer is likely controversial as many physicians are using filler injection around the eyes today. A perfectly placed filler injection can correct the depression beneath the lower eyelid called the dark circle or nasojugal fold which is different from the Hollow Eye which is caused by lack of orbital fat. The problems with filler injection in this area are: Many physicians with no training or experience in eyelid surgery are using this technique-often... more

Fat Grafting Under Eyes

A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fillers or Fat Grafting - which to choose?

Hollow areas beneath the eyes can be caused by a lack of fat in the upper portions of the face. It is most commonly seen in older patients, in which case a mid-face lift is often the best and most permanent solution. In a young person such as yourself, some type of local volume replacement is usually the preferred treatment. This can be done with HA fillers such as Restylane or Juvederm, or with fat grafting. Here are the pros and cons of each... more

Under eye fillers

Fat is a type of filler!! If you need fillers on cheeks , or other ares , fat would probably be a good option. It depends on your dermatologist, or plastic surgeon experience what kind of filler he or she would recommend. All fillers should give excellent results, if done properly.

Khaled El-Hoshy, MD

Detroit Dermatologic Surgeon

www.elhoshy.com

Hollow dark lower eyelid circles

The hollowness may be helped by injecting Restylane or Juvederm underneath the muscle. Darkness of lower eyelids is difficult to treat. Some attempts have been made with skin lightening creams, vitamin K creams to change the iron deposits from sluggish red blood cells and other creams that effect a change in the iron deposits and blood flow. Unfortunately we don't have consistent results with any treatment for this darkness.