Is there anything I can do to improve divots under eyes? (Photos)

Question

I have these troughs that show up under my eyes when I smile.

Jason Emer, MD · Answer

these are natural tendons that occur and nothing improves these but fillers and plasma pen can help. at home dermarolling and peels like enlighten should be done at home.

at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin 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, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora 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.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

As a matter of fact, I treated a woman just last week with a similar issue of a tear trough-like "divot" when she smiled, but predominantly under her left eye.  After delineating the exact borders of the divot at maximal  smile, a very small amount of Belotero Balance was injected superficially into the divot at rest, just enough cover the entire delineated area, which led to immediate and significant improvement. Hope this helps. Since the under eye area is not a place for inexperienced injectors, make sure that you consult with a board certified cosmetic dermatologist or other experienced core aesthetic physicians. Best of luck.

Ebru Acar, MD · Answer

Hi,This is a normal appereance when smiling because of the mussels and tendons of the eye area which make the gestures. But if it is still prominent in the normal non smiling posture, my advice is a thin and high biocompatibility product such as Redensity 2 for your tear trough. Best wishes,Op Dr Ebru Acar, Ophthalmologist- Oculoplastic Surgeon

Leonard Grossman, MD · Answer

The divots you’re referring to under the eyes appear to be there when you are smiling. Since they’re there when you smile, I would not do anything for them since they are created by the muscles in the area. However, should you have the same divots  when your face is at rest, you can correct the hollows by means of fat transfer. In my hands fat transfer provides natural and permanent results. I hope this helps and good luck from New York City plastic surgery

Robert T. Buchanan, MD (retired) · Answer

Your problem is easily treated by an expert injector, but does require exceptional knowledge of the anatomy of the area.

Is there anything I can do to improve divots under eyes? (Photos)

Answers (5)

Answer: Correct in hollowness under the eyes

Answer: Correct in hollowness under the eyes

Answer: "Divots" Under the Eyes

Answer: "Divots" Under the Eyes

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Everything you need to know about Dermal Fillers

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Is there anything I can do to improve divots under eyes? (Photos)

Answers (5)

Answer: Correct in hollowness under the eyes

Answer: Correct in hollowness under the eyes

Answer: "Divots" Under the Eyes

Answer: "Divots" Under the Eyes

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.