I have fat loss under eyes. What is the best way to correct it? (Photo)

Fillers are
a safe and effective solution to fill in that hollowness without compromising
or changing the shape of your eyes. The best filler in my experience for under
the eyes and tear troughs is Restylane. It lasts a good 6-12 months in that
area and looks very soft and natural since it is composed of hyaluronic acid.

 My favorite means of correcting your problem is the use of Voluma below the orbital rim to improve the softness and hollowness of your lower lids. Other surgeons like the Belotero or Juvéderm for this. See a very experienced  injector for this. This is a very unforgiving area.

Hello and thanks for your question. It is very difficult to see from your picture, but most people who are in a similar situation as yours get good results using fillers. My fillers of preference in this area are Belotero and Juvederm. You should get an in-person evaluation to see which filler would be best for you.

Either nano fat grafting or HA filler like Belotero-Balance. But you need ONLY in person opinions at this point....

Fat grafting is the only way to correct the hollowness and dark circles that result from excessive removal of lower lid fat during a lower blepharoplasty procedure. From the posted photographs it appears that you most likely had a transconjunctival lower blepharoplasty performed, which is removal of lower lid fat through an incision on the inside of the lower lid (no external skin incision). Fat is missing, and to restore a more youthful appearance it has to be replaced. Subcutaneous fat is what provides facial skin with a sense of fullness and vitality, and it helps to impart a youthful color and ‘glow’. Where fat is missing, skin looks darker, less robust and less youthful. Fat also serves as an important part of lower lid support, especially over time as a person ages.   Fat grafting of the lower lid area requires experience and meticulous technique. As the area is covered by a very thin layer of skin and muscle, overcorrection must be absolutely avoided. My approach is to graft fat to the point that the area looks aesthetically ideal, then stop and wait 3 months to assess fat survival. As fat survival is variable, additional fat grafting procedures may be performed based on the results of the first. In most cases of post-surgical lower lid hollowness, two to three fat grafting procedures are required to restore adequate subcutaneous fullness in this area.

The best option for your lower eyelids is to place some filler into the sunken areas.  This can be done carefully and in an exact manner.  There should not be any change to your eye shape.  Juvederm or Restylane are good choices.  These hyaluronic acids can also be dissolved if you don't like the effect they provide.

It's a little difficult to see the picture you posted. Generally speaking, either filler or fat transfer can be used to correct volume loss around the eyes.  I tend to use fillers that are thinner around the eyes to avoid seeing/feeling it, since the skin is thin here.  I typically use Restylane and/or Belotero in this region.  Fat transfer from elsewhere on the body is also a reasonable alternative and can  be more permanent. Either one can get you a beautiful correction of these lines and shouldn't change the shape of the eyes or make them appear smaller. There are certainly risks to having anything injected in this area so be sure to discuss these with your board certified plastic surgeon or dermatologist when you consult for your concerns. Good luck!