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you could definitely consider some volume to this area to address the hollowing, either fat vs. filler vs anything else. For the violet hue, this is something that may only improve so much as it's ultimately due to structures in your eye area and the eyelid skin thinness.
Hello,Thank you for your photo and clear description of your concerns. The hollowness and violet discoloration under your eyes appear consistent with tear trough volume loss and thin, translucent under-eye skin, which can create a tired or shadowed look. A common and effective approach to improve this area is under-eye (tear trough) filler, typically using a soft hyaluronic acid-based filler like Belotero or Restylane-L, which can restore volume, smooth transitions between the lower eyelid and cheek, and reduce the appearance of dark circles. For discoloration due to vascular visibility or pigmentation, options like topical brighteners, laser treatments (e.g., pulsed dye or IPL), or microneedling with PRP may further improve skin tone and texture. A skilled injector or oculoplastic surgeon can assess whether filler alone is appropriate or if you may also benefit from lower blepharoplasty if skin laxity or fat herniation is contributing to the issue.
In the past 25 years fat grafting was used in about 80% of our face/neck lifts. Since volume loss around eyes and mouth is the prominent feature of aging, reconstruction with fat grafting seems to be the most logical solution. In other to avoid side effects and lumping (this is never completely...
Hello , Recovery after under-eye fat grafting typically involves 1–2 weeks of swelling and 2–3 weeks of bruising, especially if you're prone to bruising—taking arnica and bromelain (as approved by your doctor) can help. Botox is usually safe after 2 weeks, while fillers should be del...
Based on these photos, a combination of transconjuctival lower blepharoplasty and periodical fat grafting would be my suggestion. This may, in some patients, lighten the dark skin discoloration in time. In person or teleconference consultation with board certified plastic surgeon who has long...