Treatment for sunken areas around eyes and nose?

I have sunken eyes, especially on the inset of my nose. I have had my "tear troughs" filled with Restylane, but I still get asked if I have a black eye! I have consulted with a plastic surgeon about this and she said that if I were to get filler in that area, that I risk blocking my tear ducts. Any advice? What other treatments would you recommend?

Sort: Date | Helpful
10 answers to “Treatment for sunken areas around...”

A: Treatment for sunken eyes

Ronald Shelton, MD

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: Arcus marginalis release and fat grafting can correct sunken or hollow eyes

Brooke R. Seckel, MD

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

A: Tear trough implants for sunken eyes

William Portuese, MD

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

A: Treatment of black areas underneath the eyes

Jeffrey E. Schreiber, MD

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

A: Restylane for sunken eyes

Jason R. Lupton, MD

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

A: Under eye Restylane-No question about it.

Kenneth D. Steinsapir, MD

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

A: Tear trough injections

Steven Wallach, MD

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.

A: Sunken Eyes around Nose

Tanveer Janjua, MD

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.

A: Fillers or Surgery

Edgar Franklin Fincher, MD, PhD

 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

A: Fillers and surgery

Hisham Seify, MD, PhD

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.

Comments

dianne
157 posts
19 Aug 2009

Hi Black eyes,

You may also be interested in reading a related question, Help for dark circles and sunken eyes

Regards

Post your question

Restylane: 279 reviews

57% said it was worth it

Restylane before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.