Under eye hollows need filler! What is the best product to fill the outer part under the eye above the cheek? (Photos)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

The best fillers for the under eye area, in my opinion, are Belotero and Restalyne Silk. Depending on your in-person clinical examination, you may also be an excellent candidate for resurfacing (with peel or laser), fat grafting, and/or lower eyelid surgery.

Filler will help. The "cure" would be lower lid surgery with fat transfer in my hands. It would be the most natural result and will likely make you the happiest. I think it is reasonable to try filler in the mean time. 

Yes, I would absolutely agree that you need to place Restylane in the outer eye area.  In fact, without that area being corrected and only doing the nose area it would look unbalanced.  Please find someone in the area with lots of experience in the eyes and you find that it will look much better.  Also, you can consider Restylane Lyft since your hollows are deeper.

Dear fightingthehandsoftime:
I agree that this area should be treated. There are many different and appropriate fillers that your dermatologist or plastic surgeon will consider. One of the Restylane products is often used, although Restylane can result in temporary swelling, a Tyndall effect, or even lumpiness. For that reason, I prefer the fillers with a lower cohesively, such as Belotero or the newer Volbella. The most important thing is consulting an expert injector, as advanced training and experience is required for a good result.
All the best,   Dr. Clark

Dear fightingthehandsoftime:
Teosyal Redensity II works remarkably well to reduce and soften under eye hollowness.  Please see an expert injector for best results.  Best wishes.

Hi There,
Thank you for sharing your pictures.  In your case more is simply more.  I  think a bit more fillers will do the job.  Try Restylane Lyft and layering on top with Restylane L or Defyne.  The results will be great! Botox in the glabella and the lateral orbicularis muscle (on the side of your eyes) can also help with the overall improved look.  Take good care!

This is a common area for flattening around the eyes and midface over time.
This area needs a filler that provides structural support so it is lifted.  This usually creates a significant improvement in your appearance.  
If a structural filler does not provide an adequate change then a corrective procedure can be considered.

Belotero Balance is a nice filler for injection into the tear trough area and one is less likely to get the Tyndall effect that can occur with Restylane injections (from too superficial injections). This is an advanced technique and should only be performed by doctors who understand the delicate periorbital area anatomy and have had advanced training on filler injections in this area. An experienced injector can use the needle or microcannula technique with excellent results, however less bruising is seen with the cannula technique.

I agree that it would likely be helpful to fill the lateral part of the tear trough.  I routinely fill both the medial (inner) and lateral (outer) part of the tear trough for patients that are hollow in these areas.  I usually prefer to use a blunt micro-cannula rather than a sharp needle in these areas to minimize the risk for bruising or side effects.  This is an advanced area.  Make sure to see a very experienced injector.Regards,Dr. Ort