Hollow/sunken eyes treatment options? (Photo)

Fillers in experienced hand to inject is a good option.  Selecting an expert is very important.

Hi @ajewel98. Thank you for sending 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!

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

Dear ajewel98Injection of fillers can help improve the appearance of your lower eyelids and the transition to your cheek with consistent results. I use restylane for the tear trough deformity with good and reliable results.

From your photos, it does appear that you would be a good candidate for fillers to the tear trough area and lower eyelid/periorbital areas.  It is important to go to a skilled injector and physician when having this area treated and to use the correct product for the injections.  I recommend using Restylane or Restylane Silk in this area because it has a low hyaluronic acid concentration and swells or attracts less swelling or "tissue water" to this area.  Most HA fillers run anywhere from $550-750 per syringe and they are completely reversible with hyaluronidase, if you are unhappy.  Expect some mild-moderate swelling for a few days and some possible bruising, but bruising can also be reduced using a blunt microcannula (which I recommend) for injecting this area.

The hollowness is best treated with careful serial injections of fillers (restylane). The dark circles are more difficult, often genetic. Topical retinoids and bleachers and perhaps skin peel, fractional laser or such.....

Replacing the lost volume with staged injections of hyaluronic acid, preferably Belotero will make a noticeable improvement  in the lower eyelid area.  

The least expensive safest approach to augment your tear troughs would be the injection of fillers like Restylane or Belotero. Be careful to select an experienced injector to avoid a lumpy contour.