Treatment for Naso Labial Folds and Sunken Eyes?

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Yes, it is possible that BOTOX may make a sunken appearance under the eyes more obvious. This can easily be avoided by changing the BOTOX treatment technique, to avoid treatment of the lowest crows feet and the area under the eyes.

A simple and more effective approach to treating both of these areas would be to use a tissue filler, such as Restylane or JUVEDERM.  These hyaluronic acid (HA) fillers last anywhere from 8-14 months and provide a very natural improvement in both the nasolabial fold and lower eyelid areas, particularly if the problem is only just beginning. 

A more definitive approach in the lower eyelids would be to move or reposition the fat in the lower eyelids surgically for a longer lasting improvement in the sunken, tired look under the eyes.