What is best for prominent hollowness?

Tear troughs and under-eye darkness can be challenging to treat, but you do have several non-surgical options that can help to improve their appearance.
1. Topical Treatments: Certain skincare products can help to reduce under-eye darkness and puffiness. Products containing ingredients like retinol, vitamin C, caffeine, hyaluronic acid, and peptides can be beneficial.
2. Medical-grade Skincare: For a more intensive topical treatment, you might consider medical-grade skincare products. These are often more potent than over-the-counter options and can be prescribed by a dermatologist.
3. Laser Therapy: Laser treatments can help to stimulate collagen production and tighten the skin, which can reduce the appearance of tear troughs.
4. Chemical Peels: These can help to rejuvenate the under-eye area by removing the top layers of skin, promoting new skin growth, and potentially reducing darkness and fine lines.
5. Microneedling: This treatment creates tiny punctures in the skin, stimulating collagen production and potentially improving the texture and tone of the under-eye area.
6. Platelet-Rich Plasma (PRP): PRP therapy involves injecting your own platelets into the under-eye area to stimulate collagen production and rejuvenate the skin. This can be combined with microneedling for enhanced results.
Remember, it's important to consult with a board-certified dermatologist or plastic surgeon to discuss these options and determine which treatment is best for your specific needs. They can also help you understand potential risks and benefits, and set realistic expectations for the results.

Fillers are a great option to add volume to hollow areas. The wonderful thing about fillers is that you can go slowly and work up to the look you are wanting. HA fillers are temporary and can be dissolved with hyaluronidase if you are unhappy with your results. To keep the delicate skin around the eyes looking healthy and youthful we recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.