Put an End to Hollow Eyes

Credit: Thinkstock
We talk a lot about reducing under-eye puffiness, but we know that some of you suffer from another issue: eyes that look sunken and hollow, especially for those who have more slender faces. However, there is help for those who may be genetically predisposed to hollow eyes or have lost soft tissue and bone density, which can make the eyes appear sunken.

Filler fix: At the first signs of hollowing, a filler such as hyaluronic acid or fat can help to fill in the spots that appear in the tear troughs. Hyaluronic acid is effective in filling deficient areas under the eyes when it is injected deep into the tissue.

Product fix: Applying cucumber slices and products with vitamin C can reduce the dark circles that sometimes accompany eye hollowing. Retinol is a good ingredient to help the fragile skin become stronger, and humectants will add a bit of a plumping effect under the eyes. If you find that you have dark circles too, a prescription of hydroquinone can help to lighten up under-eye shadows.

Permanent fix: A lower eyelift or blepharoplasty surgery can remove any loose skin under the eyes that makes hollowing look worse, and the fat can be repositioned or added to smooth out the sunken skin. Since hollowing can occur in the upper eyes as well, upper-eyelid blepharoplasty can be effective there, too.
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Shaydie
I have this an NO amount of sleep or concealer will help. It's caused by a shadow. For years I thought I had "dark circles" everyone talks about and I tried everything under the sun and I finally realized that if I light it up or pull the skin, it's not dark. It's sunken and hollow, that's why it's there. I think the only way I'm ever going to fix it is to get something injected to fill it.
Posted March 18, 2014 4:58 PM EDT
1
Melissa Aslin
OMG! I would blog all day for that treatment! My 3 very active boys and lack of sleep are killing me in that area.
Posted December 12, 2013 6:32 PM EST
2
Don Smiley Ray Virus (X_x)
I noticed when I was younger that some people I knew had really bad sunken eyes when they removed their glasses also dark circles. In my opinion I believe this to be from short sighted vision. When a child is born they don't exactly see as you might think.They have spent their lives with their eyes closed and when they are brought into the light they don't automatically see as you and I do. Gradually a child learns to differentiate the complete scene to the objects contained within. Parents or guardians would not realize the child has vision problems until they were schooled a little. I don't think there is any way to stop short sightedness but the dark circles are more or less caused by constant strain on the eyes and I think the sunken eyes are due to the distance between the lens and said problematic eyes. I don't really know how children or people respond to contact lenses but I would suggest them or to just not where your glasses as often. I also have these crummy little dots above my eyes on my lids they are from excessive cholesterol consumption so if you are thinking of having them removed with a laser at least attempt not to consume as much cholesterol again because it will be just money in someone else's pockets.
Posted November 25, 2013 4:55 AM EST
3
GA
I'm 50 and people think I'm in my 30s because I eat organic veggies and fruit, get enough sleep, de-stress with yoga or other mental habits, used to eat lean meats but now, only wild salmon and raw plant-based protein powders. However, recently, I noticed some hallowing from the eyes down to my cheeks due to a diet pill I as trying (want to lose 15 lbs). I noticed that it made me lose sleep, lose body water, and also made me agitated. Just increasing my water intake to 10-12 glasses of clean water (I drink Eternal water) made a huge difference in the hollowing. I also started taking hylauronic acid liquid and also Biosil, a natural collagen inducing supplement which also works great on the hair and nails. Sleep is still a problem with the pills and so my eyes/cheeks are not 100% back to normal but I will be on it only 3 months. So please try drinking lots of water, don't wash your face all the time (I rarely wash but do exfoliate with Dr. Gross Alpha Beta peel 1-3 x a week), get plenty of sleep-8 hours, learn to meditate, smile a lot or check out facial workouts, eat whole organic foods (being sick is not worth it), take skin, hair, nail supplements (whole food supplements are best), don't take any long-term prescriptions, take collagen and hylauronic acid supplements, drink organic green juices, and exercise with lots of sweat. Eating enough protein for your body is also something I noticed is important for youthful skin. Hope this helps. Organic raw food is truly thy medicine and a youthful maintainer.
Posted October 05, 2013 7:34 AM EDT
4
ann
Garrett, I am a 26 year old female who had the same problem. I had no idea that hollow eyes existed and thought I would need surgery but had a filler done today. I would suggest you look into it to see if it can help you. Good luck!
Posted October 02, 2013 9:39 PM EDT
5
garrett
I'm a 32 white male with blue eyes, an I have terrible lines/hollows under my eyes. It's affecting my job an self confidence. People all ways ask if I'm tired, run there eyes, or squint. I had a blue light I used as a night light, could this of been a factor, I live in California with no health insurance an minimal moneys.
Posted September 27, 2013 2:25 AM EDT
6
Michelle Darrow,RN, MSN, FNP
At our clinic we have had a lot of success using Platelet rich plasma therapy. PRP, which is derived from your blood, is used to stimulate collagen and uni-potent stem cells and there's actual growth of new tissue. Which is perfect for under eye hollows. You can combine with filler or use alone---the big benefit is virtually no complications because PRP is from your own blood!
Posted August 11, 2013 3:33 PM EDT
7
Anonymous
For the young ladies on here get a good concealer! I had tear trough (hallows) and dark circles which are genetic. I have high cheek bones and that bone causes the look of hallows. Use a peach tint concealer to cover up the darkness, using a light color will only make it ashy. I've had mine filled before which was great but it cost 600 and last about 4 months when I was told it should last a year. So that varies on how long it last..but at age 14 and 16 theres no reason to spend the money on it... just a thought!
Posted August 04, 2013 10:24 PM EDT
8
Betty Boop
Almost overnight (it seems) I developed very sunken hollow eyes. I noticed it a few days after juvederm was injected to the area around my eye socket. It also appears to be lighter where I believe the juvederm is. Will this go away eventually or am I stuck with yet another problem created by a plastic surgeon's office.
Posted July 31, 2013 11:49 AM EDT
9
mary Moore
I have heard that on occasion the filler (undereye) can block the blood supply to the optic nerve causing blindness, I was ready to try the undereye filler until I heard this. Any comments on this.
Posted July 19, 2013 1:07 PM EDT
10
Tite E.
Why notbady is talking about boletero. I 'm having boletero under my eyes, recomended by my dermatologist which is a experinjector. I need another provider's opinion about what I'm having done to get rid of dark circle and hollows
Posted July 18, 2013 5:40 PM EDT
11
buster
I have been doing research on under eye puffiness and came across your page. While you led me to believe one of your topic of discussions would be under eye puffiness; you did not discuss it here. Can you please give information how to decrease or get rid of (if possible) under eye puffiness?
Posted July 13, 2013 6:51 PM EDT
12
INDIGENOUS AFRICAN
The best way to fight hollow eyes are to eat more fruits such as lemon,lime,orange,pineaple on daily basis and drink plenty of water.Avoid junk food,especially fry foods ,dairy,soy .and most importantly dont wash your face/exfoliate on everyday basis.Exfoliate your face once every two weeks for about only ten minutes.IF this does not help you it is wise to see one of those dermatalogists doctors who wrote comment above.Good luck.
Posted July 02, 2013 9:33 PM EDT
13
Lumps
Please elaborate of the risks that are involved , research shows clients that had this treatment done had permanent Bruising and lumps. .
Posted May 17, 2013 4:34 PM EDT
14
kelsey
hey im 19 and i have really bad hollow eyes and dark circles it looks like i have permanent black eyes and i dont have a clue how to get rid of them nothing is working
Posted May 15, 2013 6:22 PM EDT
15
melony
im 14 and have dark circles and have hollow eyes
Posted April 21, 2013 3:37 AM EDT
16
danilynn
what is the longest anyones fillers lasted?? Sculpta - mine usually lasts 8 months , have had it 3 times juvederm ? rediesse ? restylane ?
Posted February 26, 2013 6:36 PM EST
17
Emily
Would trauma following injury to eye socket lead to hallowing? I have noticed this under left eye three years post injury with a small patch of chronic swelling under the hallowing.
Posted February 24, 2013 8:20 AM EST
18
Elsy
Hi am having upper sunken eyes tha makes me look much oldermy problem is l live in west Africa Ghana are tgerecompetent doctors here for that jind of injections pls
Posted January 31, 2013 4:14 PM EST
19
Amy - Web Content Manager
Hi CJA, Board Certified Facial Plastic Surgeons, Plastic Surgeons, Dermatologists and Oculoplastic Surgeons would be qualified to perform injections around the eye region. For more information or to find a Doctor in your area, visit the treatment section of our website. Hope this helps!
Posted January 03, 2013 9:48 AM EST
20
CJA
I'm from Raleigh, NC. Can any one tell me what type of Dr. does Filler fixes for under eyes .?
Posted January 01, 2013 10:39 AM EST
21
Pam
I am only 16 and have eye hollows + terrible dark circles.....
Posted December 26, 2012 12:52 PM EST
22
Mave
I am only 29 and my eyes are getting more sunken, it get me more worried I would wish to have the eye injection but I am in Ghana what do I do please?
Posted December 14, 2012 7:05 AM EST
23
Liz P.
Has anyone tried DermaSilk Collagen Boost Instant Face Plumper? The product claims: - Erases the appearance of fine lines and wrinkles. - Helps restore the look of volume to 'eye area hollows' and sunken cheeks.
Posted November 28, 2012 2:05 PM EST
24
tja
what was the cost?
Posted November 25, 2012 5:16 PM EST
25
Danya
Ive had bags under my eyes that have bothered me since age 13. As mentioned here, everyone thought I looked tired. At age 49, I did something about it and had restylane injected below the bags and above the cheeks. I now look well rested. You do bruise a bit. I did it on a Thursday after work, iced as much as possible over the weekend, used arnica Montana tropically and orally for a few days and was able to go to work on monday with minimal concealer. Within one week, bruises were pretty much gone and I was loving my new look. It lasted for a year. I just went back and had it done a 2nd time. As for pain, it didn't hurt that much, probably because fillers now contain some type of pain reducer or numbing agent and also because the injections are deeper where there are fewer nerves (I think).
Posted May 03, 2012 7:39 PM EDT
26
WHAT THE EXPERT SAYS:

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Dr. George Sanders
Plastic Surgeon - Encino, CA
Virtually everyone will find that they lose fat over the back of their hands as they grow older. As a result, the veins and tendons become much more noticeable, giving an aged look. By injecting the area with Radiesse, there is an excellent filling in of the hollows, giving a significantly rejuvenated look. The injection is very well tolerated and the results last for one to two years in my practice. Very little bruising and swelling is encountered since only a single point is injected and the Radiesse is massaged so that it covers the entire back of the hand. Fat injection is another alternative filling technique, but this involves a minor surgical procedure with fat being taken from a donor site and then being injected into the back of the hands. I find that there is more bruising than with the Radiesse injection and that the fat may not last any longer than the Radiesse. This is because fat does not last as long in areas where there is a lot of motion such as the hand.
Posted April 20, 2012 8:06 AM EDT
27
Devra Wathen
I can't believe it your article came just in the nick of time. Just the other night I was pushing on my cheek to see what my under eye area would look like with some fullness.That what it looked liked 15+ years ago-haha. I have had good success with fillers around my mouth but for some reason the under eye thing makes me nervous. I think I am more willing to try filler before surgery I just don't want to look weird. It seems like they would have to fill alot-HMMM Anyone out there care to comment on having filler put in under your eye? Does it hurt? How often do you have to have it done? If you choose to have surgery do they put a permanent filler in? Or do they use your own body fat? I know a lot of questions jus really curious. Aloha Devra
Posted April 15, 2012 6:20 PM EDT
28
jen
I had filler placed under my eyes for the first time. It really made a big difference. I will be 40 this year but probably could've done this 20 years ago. Everyone always asked if I was tired. My provider said it would last 6months or more. I went to Dr. Michael Epstein's office in Northbrook IL.
Posted April 15, 2012 5:57 PM EDT
29
Basil
Is there anything to do about bony, veiny hands that does not involve surgery.
Posted April 14, 2012 5:38 PM EDT
30
Dr. Babak Azizzadeh
Smoothing the under eye area (tear trough) with injectable fillers can make a noticeable improvement without the need for surgery. However, this area is very delicate and it is important that you have an expert injector treat your under eye hollows. To improve the appearance of sunken and hollow eyes, I use multi-level injection technique with Restylane to create a superior outcome and use a blunt-tip cannula, instead of a needle, to reduce the risk of bruising. Although I love Juvederm for lips and other areas of the face, Restylane tends to work better in the lower lids. I prefer using the blunt-tip cannula for injections in the tear trough because it allows for greater precision so the results are more natural looking. Additionally, the blunt-tip cannula does not cause as much trauma to this delicate area, decreasing post-treatment recovery time.
Posted April 13, 2012 3:05 PM EDT
31
Dr. Cynthia Boxrud
The hollows we see around the eyes are often due to the normal aging process and patients with narrow faces are more prone because of the underlying bony structure. Restylane and Juvederm are commonly used and are placed deep under the orbicularis oculi. Fat injections can also be used reliably and are predictable in my experience if the goal is to under correct. The advantage of using fat is the injection of stem cells that are normally found in adipose tissue and may have added elasticity effects. However, this is a surgical procedure. Patients need to know there is an increased risk of black and blue with injections in these areas and must come prepared. We have all of our patients stop drinking red wine and stop medications that may cause bleeding. We also treat pre and post injections with ice.
Posted April 13, 2012 2:28 PM EDT
32
WHAT THE EXPERT SAYS:

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Dr. Jasmine Mohadjer
Oculoplastic Surgeon - Largo, FL
Hyaluronic acids like Juvederm and Restylane are excellent options for the lower eyelid, especially in very thin patients. Sometimes fat injections can be lumpy/bumpy in these areas in thin women, and can be unpredictable, as not all of the fat survives. The hyaluronic acids must be placed very conservatively and very deep to avoid buldges and the Tyndall effect (a bluish tint). I tell my patients to expect 2-3 sessions before we have the perfect result, as I am cautious not to overfill. These products have been described to last even up to 2 years in this area and can even improve a lot of the darkness in the area. And finally, a little goes a long way. It really doesn't take much product to make a dramatic effect. Combined with botox and some physician-grade eye products, the eyelid area can be rejuvenated with minimally invasive techniques!
Posted April 13, 2012 11:32 AM EDT
33
Melody R.
My eye area is tricky. I use a lot of different creams and serums from Sephora. If you get injections done, do you have to get them routinely? If so, how often?
Posted April 13, 2012 9:17 AM EDT
34
Louise S.
I'm the same way, but I'd be interested in doing some type of eye lift but I'd want to know if there was some type of maintenance and if I continue to use my favorite eye products.
Posted April 13, 2012 7:54 AM EDT
35

The filler fix worked wonders for me! Truth be told, I didn't even realize my eyes had hollowed out until my provider suggested it....until she filled out the hollowness with Juvederm...now my eyes look like they did 10 years earlier!
Posted April 12, 2012 8:37 PM EDT
36

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