I have deep sunken eyes and I'm only 21. I look tired and ill. Is there anything other than fillers that will help? (Photo)

Hi and thank you for your question! When it comes to treatment of dark circles and sunken under eyes, in my opinion nothing beats the filler injection. The treatment is relatively simple (at skilled hands) and the results appear immediately and are predictable. Also many patients tend to see longer lasting results with filler injection under eyes. My filler of choice for under eyes include Restylane, Belotero and Volbella and I almost always do the injections with a cannula. I hope it helps and good luck!  

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Thank you for your question. 
From your pictures you may benefit from volume in the upper cheek/lower lid. Fat prepared as  microfat and nanofat can give you good results when  injected in the right places. An in person consultation is important to define whether this is the best treatment for you.
Hope this helps. Best, Dr Miotto

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Fillers are one option that could help, as would fat grafting.  You can also consider ALMI which uses your own tissue to address contour irregularities and improve skin tone and texture.

Hi verilana,If you've had hollowness and darkening since you were 16, chances are it's probably genetic. If you metabolize fast, hyaluronic fillers won't last long and won't be cost effective. A fat transfer and blepharoplasty will give more lasting results.However, if your Provider thinks that you'll be fine with fillers, there are many that are currently popular. I like using Restylane Refyne for the tear trough since it produces the least swelling.The discoloration can be diminished by lasers.All the best, Justin Harper, M.D.