47 Years Old and Have Eye Hollows. What is my Best Option? (photo)

Doctor Answers 4

Hollow lower eyelids can be treated by fillers, fat transfer or surgery

As we age the cheeks fall away from the eyesockets exposing the bone beneath. There are a number of treatments that we can use to improve this situation. Fillers such as Restylane can be injected to soften the hollow. Fat can be taken from elsewhere in your body and injected as well.

Surgery can also improve hollow eyes by lifting the mid-face to put it back where it was, so the cheeks again cover the bone of the lower eyelid.

Fat re-positioning blepharoplasty also works but it's difficult to tell exactly which treatment to suggest without an examination.

New York Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

Eye hollows easily lift and fill with Hyaluronic Gel fillers

The simplest option is a hyaluronic gel filler such as Restylane or Belotero. Injected with a smooth tipped micro cannula, these gels can be precisely placed with the most minimal risk for bruising.

We lose volume under the eye with age and these gels are an instant and fairly long term correction that looks and feels completely natural.

Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 21 reviews

Restylane, Juvederm and Belotero Fillers to Treat Hollows and Dark Circles Under Your Eyes

Hello, 47 years young! Your eye hollows are due to loss of collagen, fat and other tissue from this area, which is hereditary to some extent and tends to become worse as we get older. The best way to treat this is by gently injecting a sugar-based hyaluronic acid filler into the skin to replace the lost volume. Then your eye hollows will be greatly diminished. Restylane and Juvederm are two types of filler that can be used. A new option in the US, which has been available in Europe for many years, is Belotero Balance, a softer, more flowing filler that gives nice, natural-looking results under the eyes and in the lips. Try to find a board certified dermatologist or plastic surgeon who is experienced in the use of blunt cannulas. Blunt cannulas are a new technique from Europe that eliminate or greatly decrease bruising from filler injections, compared to sharp needles. After blunt cannula treatment, you can walk out of your doctor's office looking great and without a single mark on your face. Blunt cannulas are also considered to be safer than sharp needles because they gently pass through your skin without injuring it.

Hema Sundaram, MD
Fairfax Dermatologic Surgeon
4.3 out of 5 stars 9 reviews

What is available for tear troughs?

The hollows you describe and show in your photo are what we call tear troughs.  The appearance can be dramatically improved with careful placement of a hyaluronic filler such as Juvederm or Restylane.  Be sure to seek out someone skilled in injecting this area.  A location such as this is called using the product off label so should be done by a physician.

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.