How to fix deep hollows after weight fluctuations & sleepless nights? (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.

Your flatness and hollowness comes dut to small cheek bones as well as some volume loss (fat) in the cheeks and lateral periorbital area. For the past 20 plus years, fat grafting was our major tool to correct this type of volume defficiency. However, significant expertise is needed for this procedure; be very observant when selecting the board certified plastic surgeon to consult with. Good luck.

Nicely posted photos, YES! nano fat grafting with PRF injections can improve this hollowing under eyes issues. Fee $4,000. Best to virtual consult with....

Fat transfer is inherently, unpredictable, and precise and unforgiving. If the results don’t turn out the way patience and hope for. Fillers are there other hand are the opposite they are predictable, consistent, and will dissipate overtime if patients don’t like the outcome.
Peri orbital augmentation is technically difficult, and any imperfection becomes easily visible.
I suggest reconsideration for using fillers.
Best,
Mats Hagstrom, MD