my eyes are so hollowed. i've turn 20 and look like in my 40s. i hate this look. i've got exam coming up and i can't focus on it due to my look. i am so embarrassed to go outside or even face my friend. i hate my face. people tell me to be happy but i can't even after trying so hard because i keep worrying. i tried all home rem ides to solve it. i do have 7.5 to 8 hours sleep. i drink lots water. i think this could be genetic but i really want way out of this problem. please give me some advice.
How to Repairs my Hallow/sunken Eyes? (photo)
Doctor Answers 25
Under eye hollowness
Fortunately, there are good options for correction. In the past, implants in this area had been very popular, but the current trend in cosmetics is that implants are being replaced with fillers that have significantly longer durations and better outcomes. Fillers have the main benefits of very little risk when compared with the surgical procedure of an implant and the long-term complications that all too often force those implants to get removed. Fillers also cost a fraction as much.
You may hear a debate from some surgeons about fat transfer versus fillers, but the reality is that fat transfer is unpredictable, even in the best hands. Hyaluronic acid fillers provide a very consistent volume and result. Newer fillers last significantly longer, with very high patient satisfaction when used in this area.
Seek out a consultation from somebody with experience. Read: beware, not everybody has the knowledge and skill set necessary to deal with this area. All too often I am dissolving filler from other injectors who have chosen the wrong product or the wrong patient to inject in the periorbital area. The ability to be dissolved is another benefit of filler in this area, as it can often be sculpted and corrected to achieve the natural appearance desired.
To ensure you are receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
What can I do for the dark sunken circles under my eyes?
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Filler or implants.
The best solution to give dramatic changes are implants suited to your contours. Hands down for this procedure.
The second solution are fillers to both the tear troughs and beyond *malar areas/ cheek areas. Fillers in this area are tricky to perform as the filler need to lay on your bone (safety), additionally cheek fillers can blend in the fillers from your troughs. Technically challenging but possible. Expect only a 40-50% correction with fillers. They last 9-14 months.
Facial Implants to Correct Hollow/Sunken Eyes
Your eyes are deep set, but you also have what is known as a tear trough deformity. This can be corrected by one of two mechanisms. You also have flat Malar eminences (cheek bones). A combination of silicone cheek implants and silicone tear trough implants could change your hollow eyes to haunting eyes.
As an alternative, injectable fillers can accomplish the same correction. This is much cheaper and gives you the idea of what can be done.
A Board Certified Plastic Surgeon experienced in facial implants and tissue fillers would be the correct person to see to start you on your road to greater self esteem.
Possible Treatment for Hollowed / Deep Set Eyes
Hollow under eyes
You have two options for fillers, one is a temporary injectable- I commonly use Belotero injections in this area (please see my before and after pictures under belotero)- which gives natural results lasting 3-6 months.
Your other option is fat transfer to the area, which also produces natural long lasting results when done well. (Refer to my before and after pictures for fat transfer). Hope this helps.
How to Treat Sunken Eyes
You do have a hereditary darkness around the eyes. Often times using a prescription bleaching cream will help to lighten the area. Adding some filler to the lower eyelid/upper cheek area can help as well to minimize shadows.
There are many causes of eye bags. Some are shadow issues, some are discoloration issues.
1. Prolapsed orbital fat through the orbital septum: treated with lower lid blepharoplasty and fat re-positioning. Can also be helped with fillers or auto fat transfer to the face but the ideal treatment in my hands is surgery for this issue. In your case I think fat transfer to the face is a real good option.
2. Ezcema: much more common in young people with fair skin. The treatment for this is to hold off on makeup and any manipulation of the lower lid for a few weeks and try some topical anti inflammatory creams. If you have allergies those should be treated also. A dermatologist is the best person to see for this. We have a multidisciplinary clinic with myself, a plastic surgeon, and my partner, a dermatologist which I think is ideal!
3. Fluid accumulation and/or redundant skin. Could be possible in young patients but would need a good facial analysis and exam to determine. A low salt diet (< 1000mg/day) and a warm compress can help. I would consider treating with filler/fat transfer, lower lid fractional ablative laser and/or lower lid blepharoplasty.
4. Descent of midface cheek pad. This then causes the nasojugular ligament to become more prominent creating a demarcation and separation of the eye from the cheek subunit. Treated with mid face lift and fat transfer. Again you are young so I think fat transfer is a good option.
It is all about the balance of this transition from the orbit to the cheek. There are many ways to treat this and they vary by the underlying cause. I recommend seeing a surgeon who also does a lot of these treatments. This can make a big difference as most people have a combination of the above that lead to the issue.
Hope this helps.
Best of luck,