Indentation/hollowness on the outer corners of my eyes - What procedure to fill these hollows? (Photos)

Question

I’m a 31yo woman, 119lbs, 5’1, and have noticed for a while now this indentation/hollowness on the outer corners of my eyes which look even worse when there’s lightning that creates shadows on my face. When I touch the area I can feel the indentation. My left side is worse than the right but it’s still present in both eyes. I circled the area because I don’t know what it’s called. What treatments can I do to fill this especific area? Temple filler, fat transfer, biostimulators or something else? I’m feeling very insecure. Thanks in advance.

Anna Chacon, MD, FAAD · Answer

What you’re pointing out is actually a very common concern, and you’re right—the lighting makes it look much more pronounced than it feels in everyday life. That “shadowing” effect in the outer corner of the eyes is usually related to subtle volume loss in the lateral orbit and upper temple area, sometimes extending into the outer eyelid support region. Even small changes there can create a tired or hollow appearance, especially in certain lighting angles.

At 31, what you’re likely seeing is early or naturally occurring soft tissue volume depletion and structural hollowing, which can also be influenced by genetics, bone contour, and skin thickness. It’s also very normal for one side to be slightly more pronounced than the other.

When it comes to treatment, I usually think in terms of restoring support first, not just filling a line or a single point.

1. Temple filler (most commonly helpful in cases like this)

In many patients, the true issue is not just under the eye corner itself, but the temple hollowing that creates a shadow cascade downward. Carefully placed filler in the temple area can gently lift and soften that transition, which often improves the outer eye hollowing indirectly. This has to be done very conservatively because the temple is a delicate area.

2. Direct lateral orbital or tear trough extension filler (select cases)

In some cases, small amounts of filler can be placed closer to the outer orbital rim to smooth the indentation you’re feeling. This requires a very precise technique, because overfilling this area can easily look unnatural or heavy.

3. Biostimulators (like Sculptra or similar)

These can be a great option if the concern is more about global collagen and volume loss over time. They work gradually by stimulating your own collagen, but they don’t give immediate correction. I often think of them as a “long game” option for overall improvement rather than a targeted quick fix.

4. Fat transfer

This is more of a structural and permanent option. It can be very effective when done well, especially if there is true volume deficiency. However, it is more invasive and requires downtime, and not every patient needs to go this route at your age or with this degree of hollowing.

In your specific description—mild to moderate hollowness mainly affecting the outer eye corners with asymmetry—the most common and balanced approach is usually a combination of conservative temple filler with or without small refinements near the lateral orbital area. That tends to restore soft light reflection without making the area look puffy or overcorrected.

The key here is subtlety. The goal is not to “fill the eye,” but to restore the natural smooth transition that makes the face look rested again in all lighting conditions.

Indentation/hollowness on the outer corners of my eyes - What procedure to fill these hollows? (Photos)

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