What are these dips near my undereye and how do I get rid of them? Is it collagen or fat loss? (Photos)

Due to fat atrophy and loss (deflation), as well as muscle and ligament insertion around lower eyelids, deformity called tear through is created. In same patient with small cheek bone this may happen very early in life. This hollowness, groove, may extend further over the cheeks due to deflation and fat loss in deep cheek fat compartments. Surgical solution should involve transconjuctival lower blepharoplasty to release muscle and ligament attachments and place fat pads and fat grafts to compensate for fat volume loss. In person consultation with a board certified plastic surgeon with good reputation in eyelid surgery and periorbital rejuvenation is recommended. Good luck.

Thanks for your question! I think your best option is hyaluronic acids or fillers. You can likely reduce that line to a point where you are happy. It does require some upkeep, but it should be relatively easy to maintain. Best of luck!

It can be confusing to try to figure out which procedure works best for the aging eyes and who to ask. A midface lift is also a great option for many people to correct malar bags & usually leads to a more dramatic reduction of lower eyelid fat bags compared to just a blepharoplasty. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature. 
Surgery is not for everyone though. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the cheeks, neck and jowls. Aging liplines, volume loss in cheeks, forehead wrinkles and skin tone can be nicely improved with injectables and laser treatments.
I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.
I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right. 

From the photos it appears you have a tear trough deformity. This is can be fixed surgically by addressing the lower lid fat and cheek. Fillers could also be a good option. I recommend seeing an eyelid expert in your area.
Best of luck.

There are many things you can do to treat under eye hollows/folds and dark circles. A surgical option to remove skin and/or fat will be the best long term.  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 be the best long term.  However, non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels and stem cells can all help give some improvement. I suggest. You get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

It appears from your photos that you may be a candidate for fillers.  They work by using volume to disguise contour irregularities.  The procedure is done in the office and the results last up to one year.  See an expert injector near you to learn more.

Thank you for your question.  As we age the fat pads in our cheeks descend, the bone around the orbit expands and the fat from around the eye bulges forward.  This combination forms a hollowing under the eye called the tear trough deformity.  There are many surgical and non-surgical options for correction.  Dermal fillers (placed by an experienced injector) and laser resurfacing can fill the hollow and tighten the skin.  Surgical options include lower lid blepharoplasty with fat removal or fat repositioning and/or skin removal.  I would recommend an office exam and consultation with a board certified surgeon who can perform a physical evaluation and provide you all your treatment options.  Best of luck!

A tear trough deformity is a natural process of aging. It is a combination of tissue descent as your cheeks droop with age as well as weakening of the wall that holds back the fat around your eye. This causes the fat to bulge out and a deepened crease to form. This can be blended away with filler. For more permanent results, a lower eyelid procedure can resolve this issue. Hope this helps!Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Hello, it is difficult to assess facial changes given the small area of the photo. However, from what I can see there is possible mild descent of the cheek + fat loss resulting in formation of a tear through. This can be addressed in a variety of ways including dermal filler, fat grafting, a surgical implant, or surgery to reposition the soft tissues of the midface. There are numerous of options available! Best of luck.   

Hi and thank you for your question.
It appears you have some under eye hollows. This is fairly common in the aging process and is caused by a combination of fat loss and midface ptosis.  Filler placement to the under eye would help fill this hollow and give you an excellent result.
I hope this helps.
John Frederick