I Have Hollow Under Eyes, Are There Any Permanent Solutions? I'm 22

Hi. A simple solution for your hollowness under the eyes is an injection of a filler (such as hylaform). Filler can improve the area and usually lasts nine months to a year. Another way to treat the area would be with injection of fat taken from your own body. The fat may last longer. Be certain to use and experienced surgeon because treatment of this particular area can be tricky.

I read your concerns and reviewed your photos:

You appear to have typical lower eyelid grooves that some refer to as "tear troughs". In my practice, I prefer to use Silikon-1000, an off-label filler for permanent results to fill these grooves.

Hope this is helpful for you.

Dr. Joseph

Fat grafting or fat transer [different names for same procedure] would be the best long term solution with you issue. The amount of fat transfer has to be conservative and deep to minimize chance of contour irregularity.

Temporary fillers can be helpful but will need to be repeated.

You would do better to have a temporary solution like Juvederm or Radiesse placed in the hollow. Very often permanent solutions can create lumps and bumps which then become permanent require surgery to remove them.

There are options for treating tear troughs or hollowing under the eyes.  These include operative and nonoperative procedures.  Fat grafting is option that is natural with long lasting results.   A nonoperative procedure would be the use of hyaluronic acid products, such as Restylane or Juvederm.