Blepharoplasty or filler for hollow under eye? (photos)

Transconjunctival lower blepharoplasty with fat/bags repositioning is a good option for you. The existing eye bags/fat is repositioned to fill the hollow area under eyes with predictable, lasting results. See following link. Filler is another option but less effective and short-term. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with either lower eyelid blepharoplasty or filler placement or fat grafting.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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

 Treatment of lower eye hollows and under developed cheeks? The best treatment for your problem iwould be small cheek implants for your under developed cheeks as well as lower blepharoplasty with fat repositioning. This can all be done through one incision below your eyelashes.  In my opinion fillers will just put off your problem to the future. See a very experienced surgeon who produces natural results. 

Thank you for your question and pictures.  Lower Eyelid Surgery would be beneficial, from your pictures as there are small fat pads under the eyes which need to be removed, not volume added by filler.  Lower eyelid surgery aims to address the bags under the eyes. Excess skin and removal or reshaping of the fat smooth’s the contour between the lower eyelid and the cheeks. Your cosmetic surgeon will assess if the procedure can be performed under local anaesthetic or sedation if you would prefer.  Please find a reputable and qualified surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best