Which procedure would be best for minimizing the appearance of hollow under eyes? (photos)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your specific situation.

For less significant puffiness and sagging UNDER the eyes, or more mild improvement, there are nonsurgical treatment options: we often use Renuvion helium plasma radiofrequency (RF) energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Lower Eyelid Lift.' The focused heating tightens and peels the outer skin layer with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​

Surgery (a lower blepharoplasty with or without canthopexy/canthoplasty or orbicularis muscle suspension) is a great option for more significant improvement- for example if there are more severe lower eyelid bags / bulging present. Sometimes the surgery can also be used to intentionally adjust the shape and/or size of your eyes, or correct any asymmetries!

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

The hollow of the eyes can be corrected with a lower blepharoplasty. The fat is transposed to decrease the hollowness.

Best Wishes,

Gary Horndeski, M.D.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend treatment with undereye filler. Under-eye filler, also known as tear trough filler, offers several benefits for addressing hollows or sunken areas beneath the eyes. Hyaluronic acid-based fillers are commonly used to restore lost volume in the tear trough area, which can develop due to aging, genetics, or fat loss. By filling in the hollows under the eyes, filler can diminish the appearance of dark circles and shadows, creating a more refreshed and youthful look. Under-eye filler can also improve skin texture and reduce the visibility of fine lines and wrinkles around the eyes. This procedure is minimally invasive and involves using a fine needle or cannula to inject the filler into precise areas, ensuring minimal discomfort and downtime. I hope this helps and best of luck!