Is still the case that under eye thin skin is difficult to treat with filler? (Photos)

For my patients who have thin undereye skin, I
prefer to focus on collagen-stimulating
procedures for this area such as microneedling
with plasma (also known as “PRP”), and in addition you could
use some lasering to improve the
wrinkles on your lower eyelids. You are correct,
however: very thin undereye skin can have issues with injecting filler (such as
the “tyndall” effect when the filler shows through a greyish-blue color), so it
is very important to have an in-person consultation with someone who will look
out for your best interests.

Hello there,
     In my experience, it takes targeting this area with many different treatments to see dramatic results. 
Firstly, I would recommend starting to use a medical-grade eye cream to really hydrate and replenish the tissue in this area. 
Secondly, I would recommend softening the muscle movement with neurotoxin. This will decrease the motion in this area, helping to decrease the severity of the wrinkling. 
Thirdly, I would recommend targeting the superficial collagen and elastin with treatments like micro needling or Halo. I then would target the deeper tissue with either Ultherapy or Exilis Ultra. These treatments will thicken and revitalize the tissue, making it appear smoother and tighter. 
Fourthly, under eye filler can support this area, filling some of the depression.
Lastly, filler along the cheek can further enhance this area, supporting the tissues that are adjacent to the under eye. 
Most patients will utilize some combo of these treatments. Targeting this area this way will have a dramatic affect on the appearance. Hope this helps!
Sarah RN BSN