How can I correct my under eye hollowness and nasolabial folds? (photos)

Adding volume to the anterior cheek and tear trough would improve your situation. This can be done with either filler or fat grafting. The under eye is not an easy area to treat and should be done by someone with lots of experience. Best to see an eyelid expert.

Hi @nonoseknows! Thank you for sharing your photos. You would be a great candidate for tear trough
fillers. Restylane and Belotero work great. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Very often volume deficit in the border region of the upper cheek and the lower lid (a very significant support region for the under-eyes) is responsible for the hollowness seen under the eyes. This same region is likewise responsible for the to the upward and outward lift that not only contours a more feminine, heart-shaped face, but diminishes the smile lines. At least from the photos provided here, this seems to be the case, and if so, then the nonsurgical use of a robust HA volumizing filler in this region to reestablish the necessary support can go a long way to remedying the hollowing (and even to some extent the dark circles) and smoothing the smile lines. I gave up injected fat many years ago, since it is expensive, requires two minimally invasive procedures (one to extract the fat from the donor sites of thighs, hips, belly and the other to inject into the recipient site), the results generally don't really last much longer than those obtained from the robust HA fillers (since separated from its original blood supply, not all the fat really survives), and the fat that does survive retains the characteristics of the region from which it is taken--meaning if belly fat develops "midriff bulge" as you age, it may do so in your face, as well. You would be wise to make sure that you are consulting with an experienced, board certified cosmetic dermatologist and of course, before agreeing to proceed, make sure to ask to see his/her personal before and after photos.

Hello! Thank you for your question.You are right about the hollowness in your under eye area. For more fresh, upward, vigorous look I recommend you fat injection to your under eye area and endoscopic brow lift. Best Regards!

Thank you for your question and for sharing your photos. I would need to examine you in-person, but from your photos you appear to have a volume deficit in these areas. Fillers can be a good non-surgical way to treat these areas, but are temporary. Another option would be to inject some of your own fat into these areas. Not all of the fat that is injected will stay (about 50% does), but what does stay is more permanent. I recommend speaking with a fully-trained plastic surgeon familiar with both techniques to fully discuss your options.

Fillers or fat grafting will correct the tear-troughs and naso-labial folds. Fat grafting is more invasive and has more downtime associated with it. On other had, fat grafting is more permanent. Fillers are less invasive and can last a very long time under the eyes.

Thank you for your question. The appearance of hollowness underneath lower eyelids is common and often occurs in young people. In my practice most patients who experience this are in their late 20s or early 30s. Also it tends to be congenital and most patients noticed this when their younger children.

The procedure involves a small laser incision on the inside of the lower eyelid harvesting of fat and placing a fat graft into the hollow area to plump the skin.

The best solution for nonsurgical treatment of nasolabial fold is injecting volume into the midface region which lifts the cheek and lessens the appearance of nasolabial fold. Typically this is done with an injectable filler.