Surgery for hollow under eyes? How can I get rid of the sunkenness in the inner corners? (Photos)

I agree that filler underneath the eyes can cause chronic swelling occasionally that doesn’t always resolve even after dissolving the filler. The sunken area is cause by the orbicularis muscle being tightly adherent to the underlying bone. A transconjuctoval approach to lifting g the muscle off the bone and then doing a small fat transfer can nicely soften that area.

Hi.I'm sorry to hear that you're not fully satisfied with your tear trough filler results. Under-eye hollowness, especially in the inner corners, can be particularly challenging to treat. If your injector is concerned about adding more filler due to the risk of affecting lymphatic drainage, there are several alternative approaches you might consider:
1. Consult with another board-certified dermatologist or plastic surgeon who specializes in under-eye treatments. They can provide a fresh perspective and may suggest different techniques or treatments suited to your specific anatomy.
2.Different injection techniques or using a filler with different properties might yield better results. For example, a softer, more flexible filler could better integrate with the delicate tissue in the inner corner without impeding lymphatic flow.
3. A lower eyelid blepharoplasty is a surgical procedure that can address under-eye hollowness by repositioning fat or adding a small amount of fat grafting to the area. This option provides a more permanent solution compared to fillers.
4. This procedure involves transferring fat from another part of your body to the under-eye area. It can provide a natural-looking and long-lasting correction for hollowness.
5.Laser: - Stimulates collagen production, which can thicken the skin and reduce the appearance of hollows. - Fractional lasers can improve skin texture and stimulate collagen. - Tighten skin and promote collagen synthesis.
6. While they won't fill in hollows, products containing retinol or peptides can improve skin firmness over time, making hollowness less noticeable.
7. Ensure you're well-hydrated, get adequate sleep, and maintain a balanced diet rich in vitamins and minerals that support skin health.
8. Skillful use of concealer and highlighting can temporarily reduce the appearance of under-eye hollows and shadows.
9. Gentle massage can promote lymphatic drainage and reduce any puffiness that might be accentuating the hollowness.