Treatment to reduce the appearance of under eye hollows? (Photo)

Question

I am 26 years old and have been struggling with under eye hollows. I want to avoid fillers and I was wondering if PRP injections under the eye along with other procedures such as microneedling, chemical peels, lasers etc would help improve the appearance

Jason Emer, MD · Answer

I believe we answered you before. fillers can help in the office with lasers and plasma pen, but at home peels and dermarolling needs to be done now (see link).

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, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora 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.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @Optimistic102585!  PRP 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.

Kian Karimi, MD, FACS · Answer

PRF to the undereyes is an amazing treatment that is wonderful for those looking to rejuvenate their infraorbital hollows while avoiding using a hyaluronic acid filler. In my experience I’ve seen incredible results with PRF to treat dark circles and hollow undereyes. Even more revolutionary than PRF is ezPRF Pro which changes the structure of PRF from liquid to gel. The gel formed PRF mimics a filler which allows us to fill the hollows providing a more rested appearance while still combating dark circles and providing continued results from the growth factors. Because we are altering the texture of the PRF it lasts longer than the liquid PRF and I have seen results last an average of 6 months. Results are dependent on each person, the amount of hollow space that needs to be filled, and how much product is used during treatment. Going forward, I would recommend you to complete multiple in office consultations with board certified experts to discuss your aesthetic goals. This way, they can work alongside you to determine your best treatment option.

Best of luck,
Kian Karimi MD, FACS

Best of luck, 
Kian Karimi MD, FACS

Milan Doshi, MS, MCh · Answer

Hello Optimistic102585, Thank you for your question and photographs. For the best-personalized advice photographic evaluation is not enough. An in-person consultation is a must.

Ideally, filler would be the best treatment option for such kind of hollowness, but if you want to avoid filler you can think of fat injection. A combination of micro-needling RF along with PRP would be of some help as it would lead to collagen stimulation and reduce the pigmentation and the hollowness but not completely.

Please consult with your dermatologist or a board-certified dermatologist near you and discuss in detail. Best of luck, Dr Shweta Mumbai, India

Anshul Gambhir, MD · Answer

Thank you for your question! Filler would be the best option for your as its main purpose is to fill in areas of volume loss. Your next option would be PRP to help stimulate some collagen growth in hopes to fill that area in some more. Microneedling/lasers/peels will not help improve the hollows but can help with fine lines/wrinkles. Hope this helps!

Treatment to reduce the appearance of under eye hollows? (Photo)

Answers (5)

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