Under eye filler dissolved, eyes look so hollow and tired - what can I do to treat this? (Photo)

I would fill cheek area before trying to fill area under eyes. The skin will drape differently and you might see a great improvement overall without need to go near eyes. Remember that those with more experience with this should be able to approach this in a better way and do a good job.

It is not that uncommon for people to have a multitude of issues from the fillers which have been injected into the lower eyelid area. My number one advice to you is do NOT rush with anything. You appear to still have filler or considerable swelling in the area of treatment. I personally stopped using hyaluronic acid fillers in the lower eyelid area back in 1996 for the exact same reasons and have seen hundreds of patients with similar problems to yours since that time. I prefer to dissolve hyaluronic acid filler in two and sometimes as many as three sessions with small amounts of Hyaluronidase. This way one avoids dissolving healthy tissue. I repeat the sessions every 2 to 3 weeks. I then allow for the area to get rid of all the swelling which may take as long as 2 to 3 weeks and use fat grafting to fill in the hollow. Using fat grafting, one can re-create any volume and shape that the patient desires. When properly done, the results of fat grafting should be extremely natural and practically permanent. I hope this helps and good luck from Leonard Grossman MD, Plastic & Reconstructive Surgeon.