Is there anything besides a filler that can treat hollows under the eyes?

Question

I am 66 years old and have good skin. People think I am in my 40's. I do have hollowing under my eyes. Also, when I smile my cheeks raise up a lot. I got Bolatero under the eyes and now when I smile I have accordion pleated wrinkles that look worse when I smile. What can I do about these hollows without going the filler route.

Jason Emer, MD · Answer

Eye bags respond well to noninvasive treatments lasers, micro needling in addition to fillers. Please see an expert. Best, Dr. Emer

Kyle Coleman, MD · Answer

Tear trough hollows tend to make us look more tired and aged.  Treatment of this area is usually done with hyaluronic acid fillers or fat transplantation.   In some patients, surgical blepharoplasty with fat repositioning can make an improvement in the laxity of the lid and the hollows.   However, filler in this area usually doesn't cause increased wrinkling; sometimes lifting up the hollows brings up tissue that wasn't previously visible.  Treatment of this area with tightening devices or co2 resurfacing may improve the area.

Hratch Karamanoukian, MD, FACS · Answer

Fat transplantation and HA acid fillers are the best choices for volumizing the under eyes.BestH Karamanoukian MD FACS

Kristin J. Tarbet, MD, FACS · Answer

I would recommend following up with an oculofacial plastic surgeon for a consult as there are surgical options for your concerns.

Manjula Jegasothy, MD · Answer

Belotero® and Restylane® are considered the 2016 gold standard fillers for filling in lost volume to the undereye area, or tear troughs. As this is an advanced procedure, please consult a board certified aesthetic dermatologist for a consultation.

Is there anything besides a filler that can treat hollows under the eyes?

Answers (5)