We talk a lot about reducing under-eye puffiness, but we know that some of you also suffer from another issue: Eyes that look sunken and hollow. This problem is especially noticeable on more slender faces. But what causes hollow eyes? And how can you improve the issue? We asked Lake Mary, FL, facial plastic surgeon Edward J. Gross, MD, for his input.
“Hollow eyes are caused by the loss of orbital fat in the lower eyelids,” Dr. Gross explains. “This is caused by hereditary factors, aging and volume loss.” He says there is help for the hollow; whether your choose to take a surgical or nonsurgical route.
Filler Fix: Hyaluronic acid is effective in filling deficient areas under the eyes when it is injected deep into the tissue. “The best option is a hyaluronic acid filler, such as Restylane or Juvéderm Voluma, in combination with surface treatments to the skin,” says Dr. Gross.
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 sunken skin. “Lower blepharoplasty provides conservative repositioning or removal of the herniated fat,” he says. “Oftentimes we offer lower blepharoplasty along with hyaluronic acid fillers, which are always recommended after surgery for optimal results.”