Fillers for Under Eye Hollowness and Dark Circles?

I'm a 27 year old model. Since my teenage years I've suffered from under eye tear throughs problem. I also have some puffiness in the lower eyelid which doesn't bother me. The hollowness doesn't bother me either.

What bothers me is the blue vein you clearly see which give me persistent dark cirkles. My skin is really thin but I know there is no skin discoloration. When I scrunch my skin together, the dark cirkle disappears. What I want is just a minimal filler (buffer) between my skin and the vein to get rid of the blue shade. Am I a good candidate?

Doctor Answers 6

Getting rid of the big vein will give you the most improvement and permanently

Those pesky big veins under the eyes are so annoying and can be removed permanently  and easily but you need to see a doctor who is doing a lot of it.  I haven't started doing it yet but there are several around who do.

Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 43 reviews

Teosyal Redensity II

Teosyal Redensity II is a great filler for the undereye/tear trough area. It is approved by Health Canada for this purpose. By adding a bit of filler to the area, the hollowness can be improved and it will also reduce the dark circles. Redensity II also contains nutrients that help reduce the discolouration.

Topical skincare products may also help.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Thin under eye skin

I specifically use a technique (EyeBoost™) to plump up the thin eyelid skin to mask blue veins.

The results last anywhere from 6 months to a few years, depending on individual skin health and ageing.

The skin booster is injected in the eyelid skin (and not lid cheek junction) to hydrate and plump up the skin and promote collagen formation.

The same skin boosting filler can be injected all over the face, neck, hands & d├ęcolletage to achieve healthy,  glowing skin too

Sabrina Shah-Desai, MS, FRCS
London Oculoplastic Surgeon
5.0 out of 5 stars 64 reviews

Tesoyal Redensity II for under Eye Hollowness

Dear jlucky:

In Canada, I use dermal filler Teosyal Redensity II to soften up under eyes hollowness as well as decrease the dark circles around the eyes.  All the best.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 9 reviews

Fillers under the eyes can work wonders

From what I can see from your picture, you have a true contour and volume deficiency of the lower lid. The dark circle you see is from the light shadowing in the area from the convexity and concavity present. This is the same principles used in sculpting to highlight an area. You would benefit nicely from a Hyaluronic acid filler carefully layered there to take away the double contour and instead have your lid match your cheek height and volume. Hope this helps.

Louis M. DeJoseph, MD
Atlanta Facial Plastic Surgeon
4.9 out of 5 stars 29 reviews

Injectable fillers work well for lower eyelid rejuvenation.

You seem to be an excellent candidate for lower eyelid rejuvenation with Injectable Fillers. If you have the groove between your lower eyelid and cheek filled, you'll have a smoother transition and improvement of the puffy appearance. In my experience, visible veins in the lower eyelid are improved. The dark pigmentation you may have is usually from years of chronic nasal allergy, and this is not changed with an Injectable Filler treatment.

You should consult a board-certified physician experienced in the delicate art of filling lower eyelid grooves. Look at many photos before proceeding.

I've attached a link to my Injectable Filler photos for your perusal.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 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.