I'm 31 yrs old with genetic hollow tear troughs. Are fillers for me? (photos)

I think you are correct to consider fillers if this is bothering you.  Fillers under the eye can really make nice improvements by reducing the shadow that makes patients look tired.  Blepharoplasty would be another option, but this is a surgical procedure that can be very tricky with eyes like yours.  Surgery would likely have to involve fat transfer or relocation to fill in the groove.  Fillers are much easier and can be reversed if you do not like the effect (assuming you get hyaluronic acid fillers such as Restylane).  I have had good results with the relatively new Restylane Silk filler.  You should avoid Juvederm under the eyes since it can cause the Tyndall effect, a bluish discoloration under the skin due to the way light refracts through the filler. 

Hi @Wags3. Thank you for sharing your photos. You would be a great candidate for tear trough
fillers. Restylane and Belotero work great. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

If you have hollowness where the tear troughs are, then perhaps fillers are adequate to achieve your goals.

Fillers are an excellent choice for improving the hollowness of the tear troughs.  They should be done only by an experienced injector.  A common complication with this procedure is a blueish discoloration under the eyes.  It is referred to as a tindle effect (or Raleigh scattering). This occurs because of shallow injections, the product used and the lack of experience.In my practice I prefer to use Belotero for tear troughs.  Due to its irregular molecular size it has less tendency to cause discoloration, and has a very smooth result.  Restylane and Juvederm are fine products as well.

Thanks for your question.  From what I can see in the photos you might be a good candidate for a filler to help correct this area.  In my practice I often select Restylane to get the job done.  Injecting in this area, however, is considered an advanced technique with some special potential side effects to consider.  I strongly recommend seeking out a well trained and experienced physician injector to treat you.  Best of luck!