| Hollow Eyes/Dark Circles (also referred to as tired or sunken eyes)
Many people complain that their lower eye area is hollow or they have dark circles under their eyes, thus making them look tired and older than they feel. This is a common concern that often presents in combination with other challenges around the eyes. There could be several issues at hand in this situation that warrants a consultation with a physician for treatment options. In some patients, the positioning of the brow bone may cast a shadow under the eyes. In this case, hyaluronic acid dermal fillers such as Restylane® or Juvéderm® may be used to augment the orbital rim below the eyes to create more balance between the brow and the lower eye area. Also, surgical implants may be an option if more volume is needed than a filler can provide.
In some cases, patients have "bags" or pockets of fatty tissue under their eyes that cast a shadow in the lower eye area. If the bags are mild to moderate, dermal fillers may be used to hide the bag and remove the shadow. Also, other non-surgical treatments such as chemical peels, skin resurfacing treatments such as Fraxel® or skin tightening treatments such as Thermage® may help. In some patients, a lower eyelid blepharoplasty may be the appropriate solution.