What can I do for tear trough hollows besides traditional fillers? (Photos)

Hello R,
An 100% natural solution to help you achieve your undereye aesthetic goals is EZ Gel which uses your own blood, processed to form PRF (Platelet Rich Fibrin), to bioregenerate the undereye area. It is safe and effective. If you have any further questions or concerns feel free to contact my office. Good luck and be well.
Michael A. Persky, MD

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. Undereye PRP is a great natural alternative to filler, especially for patients looking to brighten and rejuvenate the under-eye area. It works by improving circulation and stimulating collagen, which helps fade dark circles, smooth fine lines, and enhance overall skin texture. While it doesn’t add volume like filler, PRP can naturally plump the skin and reduce the appearance of mild hollowness. Because it’s derived from your own blood, it’s a safe, minimally invasive treatment with low downtime, making it a great option for those seeking a refreshed, more rested look. However, it’s always best to consult with a skilled provider who can assess your unique needs and goals. They can recommend a personalized treatment plan just for you.

If you are seeking alternatives to traditional fillers for addressing tear trough hollows, there are several options you might consider, each with varying degrees of invasiveness and effectiveness. Here are some potential treatments:

Fat Transfer: This procedure involves harvesting fat from another area of your body and injecting it into the tear troughs. It provides a more natural and longer-lasting result compared to synthetic fillers.

Platelet-Rich Plasma (PRP) Therapy: PRP uses components of your own blood to rejuvenate the skin and stimulate collagen production, which can help improve the appearance of hollows over time.

Microneedling with PRP: This combination can enhance skin texture and promote collagen production, potentially reducing the appearance of hollows.

Laser Treatments: Lasers such as fractional CO2 or erbium can improve skin texture and stimulate collagen production, which may help reduce the appearance of hollows.

Radiofrequency Treatments: Non-invasive procedures like Thermage use radiofrequency energy to tighten skin and stimulate collagen production, which can improve the overall appearance of the eye area.

Skincare Regimen: Incorporating products with ingredients like retinoids, hyaluronic acid, and peptides can support skin health and improve the appearance of fine lines and hollows over time.

Surgical Options: For a more permanent solution, lower blepharoplasty can reposition fat or remove excess skin, addressing hollowness and improving overall eye contour.

Each of these options has its own benefits and risks. It's important to consult with a dermatologist or plastic surgeon who can assess your specific concerns and recommend the most appropriate treatment plan for your needs. They will help you weigh the potential outcomes and risks to find a solution that aligns with your goals for minimal risk and effective results.

You may want to explore Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It is safe to use around the eye area. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day. I've included a video that I hope you find helpful.

The hollows which one SEES IN their lower eyelid area are usually a hereditary trademark from the father’s side of the family. I would definitely discourage you from using fillers. Fat grafting is the single best way to address these areas. In the right hands the results are natural and permanent. I hope this helps and good luck from Leonard Grossman, M.D. organic Plastic surgery NYC

Based on your nasty post of photos, the next two alternatives would be nano fat grafting, fee $5000. Or Endo lays treatment for release of area followed by nano factor crafting fee $10,000. Best of virtual consult with.