I'm looking for alternative treatment to tear trough hollows (Photo)

You are right to be hesitant to jump to fillers or surgery for under eye hollows. Fillers under the eyes are not one of my favorite procedure because the results can be unpredictable. Prolonged swelling and discoloration are common in this area because even a small amount of swelling from reaction to fillers in this area can be exaggerated due to the tight space and the thin skin in the area can cause light to reflect off the fillers in a way that causes a bluish discoloration. PRP or PRF injections into the tear troughs combined with micro needling is an excellent option with minimal risk of side effects.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hi @Affectionate515552. You are a great candidate for tear trough fillers to help with the hollowness you are experiencing in your tear trough area. However, if you are hesitant about dermal fillers, you can consider PRP injections. However, this will not address volume loss. PRP which stands for Platelet Rich Plasma is a natural and non-surgical solution to treat under eye circles and bags. PRP is highly effective for restoring sunken eyes. Generally, two vials of blood will be collected from the patient and placed into a centrifuge. The centrifuge spins and separates the platelets from the rest of the blood components. The plasma contains the valuable collagen and growth factors from the rest of the blood's components. The plasma is then drawn up into a syringe and injected in the tear trough area. Typically, 3 sessions is adequate for optimal results.