Can this area be treated with filler? (Photo)

Non-surgical options for cosmetic dermatology and plastic surgery continue to improve with time. Botox injections and Volume fillers continue to be at the forefront of cosmetic rejuvenation given their high safety profile and efficacy. Facial fillers are used to volumize areas of premature hollowness or wrinkling, whereas Botox is used to reduce hyperactive facial muscles around the eyes, forehead, and chin.

Understanding the various attributes of each filler and Botox option can be discussed in detail during your consultation in our Beverly Hills or Santa Monica offices. Rest assured that we will provide you with exceptional attention to detail and professionalism.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Yes, this hollow area (often called the tear trough or infraorbital hollow) can typically be treated with filler.

The most commonly used fillers in this area are hyaluronic acid (HA) fillers, such as Restylane or certain Juvederm products. These fillers are specifically used to restore volume under the eyes and can significantly improve the appearance of hollowness when placed correctly. Hyaluronic acid fillers are FDA-approved for facial volume restoration and are temporary, usually lasting about 6–12 months. One advantage of HA fillers is that they are reversible with an enzyme called hyaluronidase if needed, which adds an extra layer of safety.

For the under-eye area, the filler is typically placed deep along the bone (supraperiosteal plane) using either a needle or a blunt cannula. Proper technique is extremely important in this delicate area to reduce the risk of swelling, lumps, or a bluish discoloration known as the Tyndall effect.

That said, not every hollow under the eye is best treated with filler. If there is significant fat bulging, loose skin, or very thin skin, surgery or other treatments may be more appropriate. An in-person evaluation is important to determine candidacy.

Yes, Restylane Defyne and Juvederm Volure are excellent options for treating hollow areas. Restylane Defyne is a hyaluronic acid-based filler that provides flexible support and restores volume to deeper areas, offering a natural, smooth result. Juvederm Volure is a softer filler ideal for more delicate areas, giving a subtle, refined appearance. Additionally, PDO threads can be used to lift and support the area by stimulating collagen production, helping to improve contour and firmness over time.
For the best results and safety, we recommend consulting with a board-certified provider who specializes in facial aesthetics. They can assess your specific needs and tailor the treatment plan to achieve a natural, balanced look.

This area is caused by sagging of the cheeks relative to the skin. The best filler may be something with a high G' ("thick") filler in the cheeks, or a lower G' ("thinner") filler into the lines themselves. A full face picture would give a better idea of what would help. Just looking at that area in the photo, likely Restylane Defyne would work well.

Yes filler can be used to help support that area and improve the facial contour. Another consideration is Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It can used in in conjunction with filler. We always recommend using medical grade skin care products and wearing sunscreen every day.

Yes, this area can be treated with filler. Filler is often placed superiorly, along the cheek to aid in lifting this area. Along with this, some filling of the marionette line will help to blunt this area and avoid the shadowing and transition which makes it more noticeable.