Options, whether non-surgical or surgical—to improve the texture, hollowness, and vascular appearance under my eyes? (Photos)

Hello and thank you for your question. It would be helpful to know your age to determine which treatment options may be best fitted for you. On review of your photographs, I do note a slight volume deficiency of the lower eye lids which would be treated effectively with a small amount of filler or even fat grafting in some cases. It is possible that you still have some residual filler in this region as well, which could be contributing to the appearance. In terms of the skin itself, resurfacing options could include a low strength chemical peel or laser treatment with an experienced provide. I would recommend an in person consultation with a facial plastic surgeon.

To address the texture, hollowness, and vascular appearance under your eyes, there are several non-surgical and surgical options you can consider:

Non-Surgical Options
Laser Resurfacing: Fractional laser treatments can improve skin texture and stimulate collagen production, helping to smooth out gritty texture and potentially reduce the visibility of vascularity.

Chemical Peels: Mild chemical peels can help improve skin texture and tone by promoting exfoliation and skin renewal.

Microneedling: This treatment involves tiny needles creating micro-injuries in the skin, which can enhance texture and promote collagen production, improving the appearance of hollowness and uneven texture.

Radiofrequency Treatments: These can tighten the skin and improve texture by stimulating collagen, potentially reducing the appearance of puffiness and vascularity.

Topical Treatments: Products with ingredients like retinoids, peptides, and vitamin C can support skin health and improve texture over time.

Camouflage Makeup: Professional makeup techniques can help mask the vascular appearance and improve overall aesthetic concerns under the eyes.

Surgical Options
Lower Blepharoplasty: This surgical procedure can address puffiness and improve skin texture by removing or repositioning fat and tightening the skin.

Fat Transfer: Using your own fat to fill hollows can provide a more natural look and feel compared to synthetic fillers, potentially improving texture and volume.

Vascular Laser Treatment: Specific lasers target blood vessels to reduce the appearance of vascularity under the eyes.

Consulting with a dermatologist or plastic surgeon who specializes in under-eye treatments can help you determine the most appropriate approach based on your specific concerns and goals.

Best and quickest way to correct under eye hallowmess in young adults is with HA fillers like Bellotero, Restyle, RHA or Versa. Thereafter, some skin tightening with IPL can help as well.

Morpheus8 may help. This treatment combines RF technology with microneedling to improve overall skin tone and texture. Three treatment sessions spaced one month apart are generally recommended for optimal results. I've included a video on Morpheus8 that I hope you find helpful.