Would filler help my hollow eyes and thick under eye wrinkles? (Photo)

The upper cheeks are the major support for the under-eye regions. When there is volume loss there, there, the consequences are under-eye hollows and tear troughs and loss of the youthful smooth transition between the upper cheeks and the undereyes. So, the choice of an appropriate HA volumizing filler injected properly in the region of the upper cheeks can reestablish the smooth transition and address the hollows. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler injection expert. Hope this helps and best of luck.

Thank you for sharing your concerns and photo. At age 38, it’s common to notice changes in the under-eye area, including hollowness (tear trough deformity) and the development of wrinkles. You’ve already tried PRP and fat transfer, which are both excellent options for some patients, but results can vary.

Filler for Hollow Eyes:
Hyaluronic acid fillers (such as Restylane or Belotero) can be very effective for improving under-eye hollows by restoring lost volume and creating a smoother transition between the lower eyelid and cheek. When performed by an experienced injector, this treatment can provide natural-looking results with minimal downtime. However, it’s important to select the right filler and technique to avoid puffiness or visible lumps, as the under-eye skin is thin and delicate.

Filler for Under-Eye Wrinkles:
Fillers are less effective for thick or etched-in wrinkles under the eyes. These lines are often due to skin laxity, sun damage, or repetitive movement. While a small amount of filler can sometimes soften fine lines, too much product can lead to an unnatural appearance or swelling. For deeper wrinkles, other treatments may be more effective, such as:

Microneedling or fractional laser resurfacing to stimulate collagen and improve skin texture.
Radiofrequency or ultrasound-based skin tightening to address laxity.
Topical retinoids and growth factors to enhance skin quality over time.
Botulinum toxin (Botox, Dysport, etc.) for dynamic wrinkles caused by muscle movement.

Summary:
Filler can be a good option for under-eye hollows, but is less effective for thick wrinkles. A combination approach—using filler for volume loss and other modalities for skin texture and wrinkles—often yields the best results. A thorough in-person assessment is essential to determine the most appropriate treatment plan for your specific anatomy and goals.

I would recommend HA fillers once syringe for under eyelids in combination with micro dosing Botox best of virtual console with for better explanation expect fees to rent from 1000 $2000. Understand this might need to be done in a series of visits and repeated every 4 to 6 months again, best of virtual council with.