How can I address this weird bulging and hollowing underneath my eyes? (Photos)

Question

I have tried fat grafting and fillers but I think the issue is bone structure. I was looking into Infraorbital implants because I heard those can help with bulging eyes and a flat midface which I do have.

Zoran Potparic, MD · Answer

Hollowness of the upper cheeks and underneath the eyes is result of small cheek bones, malar hypoplasia. Augmentation  with properly selected cheek implants and possibly fat grafting over it , would be my suggestion. You should also consider evaluation of upper eyelids for possibility of saggy eyelids, ptosis. Good luck.

Kenneth D. Steinsapir, MD · Answer

Likely the bulge represents your orbital rim. You are slightly hollow under this. Rather than an orbital rim implant which can look weird, you would do fantastic with a small amount of undereye filler.

Nelson Lee Novick, MD · Answer

At least from the photo provided, the weird, bandlike bulge under your eye appears to be a typical "jelly roll,"  nicknamed this because of its resemblence to a chocolate jelly roll candy. It's actually a hypertrophy of the muscle under the eye and generally can be quite easily treated and flattened with a few microdroplets of Botox targeted along the belly of the muscle. So, before jumping to expensive, invasive procedures that carry risks for adverse reactions, you would be wise to consult an experienced, board certified cosmetic dermatologist injector. Hope this helps and best of luck.

Kadir Berat Oyur, MD · Answer

Based on the photos, your concerns appear to be related to under-eye hollowing and midface support rather than excess lower eyelid fat alone. If fillers and fat grafting have not provided satisfactory improvement, further evaluation of your underlying anatomy is appropriate. In carefully selected patients, structural procedures such as infraorbital implants or midface augmentation may be considered. However, these are advanced procedures and should only be recommended after a comprehensive examination by an experienced oculoplastic or craniofacial surgeon to determine the true cause of your contour concerns.

How can I address this weird bulging and hollowing underneath my eyes? (Photos)

Answers (4)

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