Do I need fat repositioning for my hollow eyes? (Photo)

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.