Genetic Hollow or Sunken eyes. Any treatment to help with it? (Photo)

There are many causes of eye bags/dents/shaddows. The key is the compartmentalization of this area from the cheek. What we “like” is a smooth transition from the eye to the cheek with les demarcation. Some are shadow issues, some are discoloration issues.  Most people have a multi-factorial problem meaning they have more than one issue causing this demarcation. It really does require a good physical exam and history to determine what your cause is and thus your best treatment. Below are some common causes and my treatment protocols but this can only be determined after a facial analysis and consultation.
1. Prolapsed orbital fat through the orbital septum: treated with lower lid blepharoplasty and fat transpositioning. Can also be helped or camouflaged with fillers or auto fat transfer to the face but the ideal treatment in my hands is surgery for this issue.
2. Eczema: much more common in young people with fair skin. The treatment for this is to hold off on makeup and any manipulation of the lower lid for a few weeks and try some topical anti inflammatory creams. If you have allergies those should be treated also.  A dermatologist is the best person to see for this.
3. Fluid accumulation and/or redundant skin. Could be possible in young patients but would need a good facial analysis and exam to determine. A low salt diet (< 1000mg/day) and a warm compress can help.  I would consider treating with filler/fat transfer, lower lid fractional ablative laser and/or lower lid blepharoplasty.
4. Descent of midface cheek pad. This then causes the nasojugular ligament to become more prominent creating a demarcation and separation of the eye from the cheek subunit. Treated with mid face lift and/or filler, fat transfer.
It is all about the balance of this transition from the orbit to the cheek. There are many ways to treat this and they vary by the underlying cause. I recommend seeing a surgeon who also does a lot of these treatments. This can make a big difference as most people have a combination of the above that lead to the issue.
Hope this helps.
Best of luck,
DrC

Thank you for your question and sharing your photo.
Hollow or sunken eyes can be caused by various factors, including genetics, ageing, loss of fat and collagen in the eye area, and lifestyle habits. While it's normal for the natural ageing process to affect the appearance of the eyes, there are some treatments that may help improve the appearance of hollow or sunken eyes. Here are a few options you could consider:
1. Dermal fillers: Hyaluronic acid-based fillers can be injected under the eyes to add volume and minimise the appearance of hollows. This treatment is temporary and will need to be repeated periodically.
2. Fat transfer: During this procedure, fat is taken from another part of your body, purified and injected into the hollow areas under your eyes. This can provide longer-lasting results compared to dermal fillers.
3. Chemical peels, laser resurfacing, Morpheus 8 and AccuTite: These treatments can help improve the overall texture and quality of the skin around the eyes. They may help minimise the appearance of fine lines and crepiness but might not directly target hollowness.
4. Good skincare routine: Using nourishing eye creams containing ingredients like retinol, hyaluronic acid, and antioxidants may help improve the appearance of your eye area over time. Regularly moisturising and protecting your skin from the sun's harmful UV rays is also important.
I recommend consulting with a qualified plastic surgeon or dermatologist who can assess your concerns and provide you with personalised advice and treatment plan based on your needs. They will be able to guide you on the most suitable treatment options for you.
Wish you all the best. Allen Rezai M.D.

Dark under eye circles can make you look tired and older than you are. I would use a combination protocol that includes topical Melarase creams first, followed by a combination of injectable fillers, fractional laser, and RF to blend out the eyelid hollowness and tighten the skin. 
Recommended Creams: Melarase Brightening Kit
MelaClenz
Melarase AM
Melarase PM
Melapads
Replenish Retinoid Cream
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Dear Phyllis,The eyes are one of the most important part of the face for communication. When they appear tired looking they can give the impression of being tired or old even when people feel fine inside.In your situation, you could consider filler to the inner part of the lower eyelid to help even out the hollows there. Best to seek out a specialist in your area.I hope this was helpful. 

There are several options for treatment of hollow sunken under eye area (tear trough deformity) including filler, fat, soof lift, and implant. Each has pros and cons. 

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

You have some hollowing in the tear trough.  Adding some HA filler such as Restylane or Belotero to the area will give you some additional volume which will help to make the area appear less hollow and dark, and much smoother.  Usually lasts at least 1.5 years. 

Thank you for your question and I am sorry you are having this issue.I would recommend starting with a filler such as Voluma instead of trying to transfer your own fat into the area.  Hyaluronic Acids (HA's) such as Voluma fill the void, are very predictable, (unlike your own fat) and if you decide that you didn't like it, could be easily removed. Give your local Facial Plastic Surgeon the opportunity to review things in person and make appropriate recommendations.

Under eye hollows can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).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 can help to disguise under eye irregularities.  The non surgical treatment is performed in the office and the results can last up to one year.  Visit with an experienced injector in your area to learn more.