What's best solution for eye hollowness?
I'm 19 and I have eye hollowness which makes me look tired all the time even if I’m not.
I have had it since I was baby so what's the best for it?
Thank you for your question!
You’re 19 years old and you submitted a photo and you’re asking what’s the best
solution for under eye hollowness.
Well, certainly, I can address this question for you but I would caution you at 19 to most
likely delay any intervention but I think it’s important that you understand how this
issue is addressed at a practice such as mine.
To give you a little background, I’m a cosmetic oculofacial plastics surgeon specializing
in cosmetic and reconstructive procedures of the eyes and I’ve been practice for over
20 years in Manhattan and Long Island.
So the issues with hollowing is as you described in your situation, obviously is not age-related,
you’re very young, but it does happen commonly with aging.
So to give you a sense of what we do and again, I’m cautioning you at a young age to not
necessarily pursue this because there is maintenance involved and maybe difficult and particularly
important for you to also understand is that your face is maybe still maturing which means
that a lot of things are still changing and it may be not as important in a couple of
years or as significant, I should say, as it is now.
But to address under eye hollowing, we’re talking typically the tear trough area and
the V deformity area under the eyes.
Now these particular anatomic areas, when these are particularly deep can certainly
make the eyes look sunken and make the individual look very tired.
In our practice, we routinely treat this area with fillers such as Restylane and Juvederm.
These fall in the family of hyaluronic acid fillers.
Now this is a very delicate area and it does require a thorough knowledge of the anatomy
and the precision to actually make these corrections successfully and consistently.
In addition to that, we also use something called platelet-rich plasma (PRP).
In patients who have more of an age-related change, platelet-rich plasma works very well
with hyaluronic acid.
In other words, what it does is it stimulates collagen, stimulates blood supply and we have
seen the aesthetics of the eyes improve greater than when we do hyaluronic acid alone and
it’s routine for us since we have so much experience with platelet-rich plasma or PRP
to actually do this in combination and get very nice results.
We also routinely follow our patients very closely.
We want to see how they respond to the hyaluronic acid.
Sometimes people swell, sometimes people need reduction, may be they need sometimes a little
bit more.
So there’s a lot of finesse to try to get the areas to look right because it’s pretty
unforgiving.
People often come to us from experiences with other doctors who do the injections and then
essentially, don’t follow them that closely and they’re lumpy and they’re regular
and very often, we have to use hyaluronidase to get rid of the hyaluronic acid.
It’s an enzyme used to dissolve this.
So you can understand why I’m cautioning you, someone who is 19 years old, to start
pursuing this, may not be very practical but that’s at least an explanation of the anatomy
and how we help people in a situation similar to yours.
So I think that it would be a good idea for you to at least meet with your physician,
your family physician and just discuss this issue.
There may be issues with hydration and skin care or meeting with a dermatologist.
Just think non-invasive and minimally involved at this time of your life where you don’t
want to commit to doing things that require maintenance.
It’s usually not practical for someone in your age range.
So I hope that was helpful, I wish you the best of luck and thank you for your question!