Why can I do about my dark circles and hollow eyes? (photos)

Based on the pictures provided, it seems you could be a good candidate for lower eyelid blepharoplasty. This is a surgical procedure that helps to smooth the transition from the lower eyelids to the cheeks, thus, helping to address the excess fullness and shadows contributing to lower lid darkness. This surgery will also help to tighten the skin in the area to restore skin firmness. Undergoing any surgical procedure requires careful attention to detail and consideration for different options.  However, whenever possible, it is strongly preferable to make sure your concerns are addressed with a single surgery. Consider obtaining several opinions before moving forward with any given procedure. Always trust your face to a board-certified facial plastic surgeon or a board-certified plastic surgeon with very extensive blepharoplasty (eyelid surgery) experience. 

Hello, and thank you for your question
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results that will last for years.
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Hello - thank you for the photos. Based on your photos, it seems you would be a great candidate for under eye fillers to help with hollowness. We typically like to use Restylane in the under eye area, but there are other filler options. For dark circles under the eyes, you may want to consider a medical grade eye cream to help with the dark tones. We love SkinBetter Science eye cream. It can be pricey but worth it! 
Best of luck!

Younger looking eyes lift the look of your entire face and this is one of my specialties. I approach the eye area as being comprised of different zones, each has its unique concerns. Targeting your individual issue is the key to breath-taking results. Lines and wrinkles by the sides of your eyes can be treated with Botox, injectable fillers, peels and lasers. One may suit your individual needs the best. Under-eye circles or hollowness are caused by different factors, but sometimes both can be repaired with one treatment. And sometimes what you may need is identifying an allergy, changing a lifestyle habit or simply using a new product ingredient.These are the days of exciting new treatments and one thing is for sure, surgery is no longer the only option!

You may want to consider fillers for the under eye area.  They help by using volume to disguise under eye irregularities.  The procedure is done in the office and the results last up to one year.  See an expert injector in your area for a consultation to learn more.

Thank you for your question. You are asking about what you can do about your eye bags, dark circles, hollowness, and wrinkles that appear when you smile.I can certainly help you with this, as an oculoplastic surgeon practicing in Manhattan and Long Island for over 20 years. I can give you some guidance based on your images alone, and without the benefit of a physical exam.While I can notice the hollowness and dark circles from your pictures, eye bags caused by fat are not as apparent, but you may be mistaking the slight bulge under your eyes as an eye bag. A slight bulge directly under the eye is the orbicularis oculi muscle, which helps support the lower eyelid. When this muscle contracts with actions such as smiling, it can appear to bulge, and also cause the lower eyelid skin to bunch, which you may mistake for wrinkles. This is actually completely normal, and I don't recommend treatment for this. Limiting the activity of the orbicularis oculi muscle with a neurotoxin like Botox, which can be applied for crow's feet at the sides of the eyes, would temporarily paralyze the muscle, or restrict muscle movement, which would compromise lower eyelid support, and affect common facial movements and expressions like smiling. I would not recommend treatment for this bulge, or for the skin bunching when you smile.As for dark circles and hollowness, this could be treated with non-surgical treatments. Dark circles can be caused by thin eyelid skin, which reveals the darker anatomy beneath it. Eyelid skin is already the thinnest in the body at 0.5 mm thick, so if it's any thinner, it can be translucent and reveal the anatomy beneath. Dark circles can also be caused by ethnic pigmentation, iron deposits, excess sun exposure, pooled blood, and other causes. The genetic lack of volume under the eyes can also contribute to both hollowing and the appearance of dark circles. I would usually treat the lack of volume with a soft hyaluronic acid filler like Restylane to add volume. I may combine the filler with platelet-rich plasma (PRP) which is a combination of wound healing and growth factors present in your blood, which is concentrated by extracting your blood, and spinning it in a centrifuge to concentrate the platelets. The platelets are contained in a clear, yellow plasma, which is PRP. PRP can help improve skin quality and thickness of the lower eyelid skin, stimulate collagen, and improve blood supply and circulation. I have found it to be a very effective treatment for improving under eye skin, and the appearance of dark circles.  Hyaluronic acid filler can be combined with PRP in the same syringe, and the two materials do work synergystically together, extending the effective life of both materials. I suggest you meet with qualified and experienced cosmetic surgeons who are experienced with eyelid procedures, as well as PRP. The eyes are a very delicate area, and under eye injections do carry risk, but these risks can be negligible if done by an expert. I hope you found this information helpful. Thank you for your question.