Is there a good solution to my hollow under eye area and the creasing created by smiling? (photos)

This is a very common problem and question! Filler under the eyes in all about placement. It should be placed deep, along the orbital rim bone, and not in the muscle - filler placement (and even fat placement) in the muscle is a very common mistake with serious complications. Filler placed in the muscle will result in accentuation of the muscle and abnormal movement during animation. Filler placed too superficially can be seen as a blue hue, and often requires dissolution. Under eye filler placement also usually requires a combo approach with cheek filler, as part of the problem with volume loss around the eyes is a result of cheek deflation and descent. I would recommend visiting an oculoplastic surgeon for under eye filler placement, as these physicians receive dedicated training on the eye and periorbital zones. They are well familiarized with the anatomy and layers of tissue around the eyes, including exercising the highest safety standards for vision.

HI there,
Everyone is not a good candidate for dermal fillers and patients need to be chosen carefully. For instance patients with bags under the eyes with skin laxity, are not good candidates. Other things to consider would be the thickness of the skin, hyperactive muscles around the eyes, and skin texture. If fillers are not placed deeply they can migrate and interfere when the patient smiles and moves the muscles of facial expression. It would be helpful to see your baseline pictures to see if you were a good candidate in the first place. The nice thing about dermal fellas is that they can be dissolved.