What method would you use to treat my lateral hollowing? (Photos)

When addressing lateral hollowing under the eyes, there are a few considerations to keep in mind based on your previous experiences with fillers:

Cannula vs. Needle Technique:
Cannula: This method allows for a more controlled and less traumatic approach, reducing the risk of bruising and vascular complications. It can be used to place filler more superficially, which might help in blending the transition between the filled and hollow areas.
Needle (on the bone): This technique places the filler directly on the periosteum, providing structural support. It can be effective for deeper hollows but may not address superficial contour irregularities as well as a cannula.

Current Filler Considerations:
Since you are satisfied with the filler in other areas and wish to avoid dissolving it, a targeted approach to the lateral hollows is advisable.
Using a cannula to place filler more superficially in the lateral hollow areas might help achieve a smoother transition without disturbing the existing filler.

Filler Type and Volume:
Ensure that the filler used is appropriate for the delicate under-eye area, typically a softer, more cohesive gel that integrates well with the surrounding tissue.
Careful volume assessment is crucial to avoid overcorrection, which can exacerbate the appearance of hollows or create puffiness.

Consultation and Assessment:
A thorough assessment by an experienced injector is essential to determine the best approach for your specific anatomy and aesthetic goals.
Consider discussing the possibility of using a combination approach, where both cannula and needle techniques are employed to address different aspects of the hollowing.


In summary, using a cannula for superficial placement in the lateral hollows could be a suitable option to achieve a natural and balanced result without disturbing the existing filler.

Filler certainly can improve hollows under the eyes. You can consider other treatments as well to improve overall skin tone and texture, such as Morpheus8 and SkinPen. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

The most natural and best way to treat facial hollows is with fat grafting. As long as the Plastic surgeon, you’re using is well-versed in such procedures, the results should be natural and practically permanent without the ill effects of fillers. I hope this helps and good luck from Leonard Grossman name D, organic Plastic Surgery NYC