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What is Under Eye Hollowness?

Under eye hollowness is a common concern for many who have felt they have sunken eyes or always look tired. There are many causes of under eye hollowness such as natural aging or inherent genetics but all result in volume loss, sagging skin and loss of youthful eyes. The lack of volume can further be compounded by causing shadowing under the eyes which appear as dark circles. The good news is that under eye hollowness can be effectively treated noninvasively with little downtime. No matter what the underlying cause, there are now cutting-edge solutions to volume replacement for softer and more youthful under eye or tear trough regions.

What causes Under Eye Hollowness?

As we age, we tend to lose fat and bone tissue in many integral parts of our body. Our skin and connective tissues also thin as we produce less and less collagen, an important structural protein in the body. As these changes occur, our faces are visibly affected, especially in more sensitive skin regions where the skin barrier may be inherently thinner and more delicate, like the under eye areas. This area underneath the lower eyelids, also referred to as the tear trough will usually be visibly dark, droopy, and hollow. This is where we tend to see dramatic age-related changes in coloration and structure even with very little loss of tissue.

What treatments are available for Under Eye Hollowness?

The superior treatment in treating Under Eye Hollowness, especially if it’s due to the natural aging of the skin, is the use of dermal fillers.

Dermal Fillers

Dermal Fillers, such as Restylane or Juvederm products, are injectable gel products that are specially-formulated to draw hydration into the treatment areas using substances like hyaluronic acid, as well as stimulate collagen production in the skin. The combination of these two effects offers long-lasting relief to under eye hollowness, and as the volume increases the skin evens out, returning to its youthful smooth surface beneath the eyes.

Under eye treatments with dermal fillers typically last more than a year and after continued maintenance, it can last several years before needing retreatment.

What should I expect with the treatment?

To start, you and Dr. Brandish will develop an individualized treatment plan to determine what dermal filler or other treatment may be most effective for your individual case.

Treatment with dermal fillers is the least invasive but safe and effective procedure with very little downtime. Most are formulated with lidocaine to make the injections more comfortable. Dr. Brandish is an expert injector with years of experience delivering top-notch dermal filler treatment, so you can expect quality results. For a complete description of what to expect for each filler, visit our dermal fillers.

Under Eye Hollowness Summary

Under eye hollowness is a common condition that can occur through the natural aging process or as a result of our inherent genetics. Regardless, as we get older, our skin, bones, and fat tend to lose their density and their structure as we produce less structural proteins to maintain them. This results in visible changes to the skin, especially in sensitive skin regions like the under eye or tear trough area. With treatments like dermal fillers, medical providers can directly increase the volume of these hollowing areas with formulas that provide immediate and long-lasting changes. As an expert dermal filler injector, Dr. Brandish is fully equipped to provide you optimal relief from under eye hollowness.

How do I get started with Under Eye Hollowness Treatment?

If you’re interested in hearing more or in scheduling an appointment, contact our office at

and we’ll take care of you. We offer free consultation appointments as well if you’d like to simply go over any problem areas and discuss treatment options for under eye hollowness with Dr. Brandish.