Tear trough filler at 19? (Photo)

Thank you for your question and photos. You may benefit from dermal filler injections to treat the under-eye darkness you’re referring to. These hyaluronic acid formulas are used to fill in hollow areas and create a smooth transition between the lower eyelid and the upper cheek area. While filler treatments are not as invasive as surgery, they still require a great deal of skill and precision to achieve the best possible results. In my office, we use a micro-cannula to inject this area, which minimizes bruising and swelling and ensures the smoothest outcome.
I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to assess your concerns and determine the treatment option that may be best for you.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Tear trough filler is generally used for volume loss or skin laxity in the under-eye area. At your age though, the darkness under your eyes may be caused by various factors, including genetics, allergies, stress, and sleep deprivation. These factors can cause the blood vessels and skin in the under-eye area to become more visible, resulting in a dark or hollow appearance.
Before considering any cosmetic procedures, it is important to identify and address the underlying causes of your under-eye darkness. This may involve making lifestyle changes, such as improving your sleep quality, reducing stress, and avoiding allergens. Additionally, using a topical vitamin C brightening eye cream can help to reduce the appearance of dark circles and improve the overall texture and tone of the under-eye area.
If you have tried these methods and still feel unsatisfied with the appearance of your under-eye area, you may want to consider non-invasive treatments, such as laser therapy, microneedling, or chemical peels. These treatments can help to improve the tone and texture of the skin in the under-eye area, reduce the appearance of dark circles, and promote collagen production. However, it is important to consult with a qualified and experienced physician to determine the most appropriate treatment option for your individual needs and goals.
In conclusion, tear trough filler is generally not recommended for young individuals who do not have significant volume loss or skin laxity in the under-eye area. Before considering any cosmetic procedures, it is important to identify and address the underlying causes of your under-eye darkness. Non-invasive treatments, such as laser therapy, microneedling, or chemical peels, may be a more suitable option for improving the appearance of your under-eye area.