What is the best treatment for hollow eyes? (Photo)

When addressing under eye hollows we need to determine what's causing it.  Is it from lack of fat in the lower portion, is it from too much fat above that accentuates the hollow, or is it from the cheek pulling the lower eyelid tissue down.  If there's simply not enough fat there then fillers or fat grafting work great.  If there's puffiness that makes it worse then removal of the eye bag fat will help.  If the cheeks are sagging a bit, or just not supporting the lower eyelid, then a facelift or fat grafting to the cheeks will help.  Based on the pictures, I would suggest fillers.  There seems to be just lack of volume and I would imagine a small amount injected into the trough would really help.  Fillers can be done a little more precisely than fat because the fat particles are larger.  That area just needs a small amount and filler would likely look best.

Under eye hollows can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella) which can also help nasolabial folds.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!

Hi and thank you for your question! I understand that you prefer a more lasting solution for hollow under eyes, but hyaluronic acid fillers are really the way to go when it comes to treating dark circles under eyes and I don't recommend doing any other type of fillers there. In my experience, Volbella lasts somewhat longer than Restylane or Belotero under the eyes, so you may want to try that if you are looking for something that can last a bit longer. I hope it helps and good luck!

In my opinion, fillers are a much better option for the under eye area than fat injections. There is very little margin for error when adding volume under the eyes. Fillers made of hyaluronic acid can be dissolved with an enzyme called hyaluronidase if the results aren't perfect. Once fat is injected, it is very difficult to remove it, even with surgery. Fillers under the eyes often last several years and dissolve slowly. A "permanent" solution can easily become a permanent problem. 

I don't recommend silicone for this area. 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