Treatment for Sunken Areas Around Eyes and Nose?

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 lumps and discoloration as well as eye injury can occur.
In the procedure I am discussing, a whole piece of fat is surgically transplanted into the proper position under direct vision.

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 because sometimes the filler can cause a bluish tint if it is seen under the thin skin. Laser resurfacing may help induce more collagen production and the dermis may become slightly thicker thereby decreasing the darker color that is seen from the underlying tissues. Some advocate the use of different creams that may help diminish the dark color. One of these creams uses vitamin K, such as Illume. A few patients see improvement and others do not. Fat transposition can be done by a surgeon to help fill the area.

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 do not like them.