Treatment for sunken areas around eyes and nose?

Treatment of dark circles of the lower eyelids is difficult. There is no predictability in the results for coloration. Sunken eyes often look darker and fillers in the tear trough may help. If the Restylane is placed under the muscle the cosmetic result may be better than if it is placed above the muscle... more

A specific operation called a transconjunctival arcus marginalis release and composite fat grafting can be done through a tiny laser incision on the inside of your lower eyelid to correct dark circles, and the sunken or hollow eye look. Do not have fillers or fat injections into the eyelid area--permanent... more

There are tear trough implants that are specifically made to improve and augment that area of the cheek. They are inserted through underneath the upper lip and placed over the cheekbone to try to fill in the area of the tear troughs when fillers have failed. They are also totally removable in case patients... more

If you're tried fillers and they haven't worked out for you, implants may be a good option.  These are usually made of silicone or plastic and are placed via incisions in the lower eyelid skin.  They are permanent, so make sure it's something that you really want to do.  In the meantime, however... more

Soft tissue fillers such as Restylane and Juvederm, when placed appropriately, can make a huge difference in the under eye area.  I agree with the other physicians that this should only be done by a very experienced injector as risks such as lumpiness of the product, overfilling, pigmentation concerns, or... more

Dear Black Eyes I was just quoted in the September Harpers Bazaar regarding the use of Restylane to fill the under eye circles. I told them that there is almost no reason to do lower eyelid surgery. Even if you do have a little fullness from lower eyelid fat, the circles can be filled in until the areas are... more

Tear trough injections using fillers can improve the sunken appearance.  This has to be done very carefully because lumps can develop from over injection. Even blindness has been reported.

You can get a filler that builds up your own collagen such as Sculptra. Make sure the dilution is correct. The tear duct injection would happen by wrong placement of the material. Regards.

 There are several things to consider when treating the under eye or tear trough area.  If there is a definite hollowing then filling it with restylane, juvederm or radiesse is a great option. An evaluation to see if you have any extra fat pushing through the lower eyelid that is creating or... more

You should be carefull with filler injection around the eyes. The skin is very thin in this area and it is easy to create a hyperpigmentation. For the tear trough,the injection need to be deep with 0.3 to 0.5cc of a hyaluronic acid filler. Surgery remains the best option for significant eye lid bags or deformity.