Consulting doctor:

Dr. Nguyen Thi Ly Na, Senior Specialist

Over 10 years of experience in oculoplastic and facial plastic surgery.

See more information about the doctor

"Not every case of hollow under-eyes is suitable for direct injection into the lower eyelid."

Dr. Nguyen Thi Ly Na, Senior Specialist

Filling Hollow Eyes at Dr. Eye: Personalized According to Structure and Level of Eye Area Aging

Hollow eyes, soft tissue deficiency, and indentations around the eyelids can make the eyes appear tired and the face less vibrant, even if you maintain a regular skincare routine. Particularly in middle-aged women, changes in tissue structure over time can lead to increasingly sunken eye areas, making signs of aging more pronounced.

However, not all cases of hollow eyes have the same causes or are suitable for a single treatment method. Some may have volume loss in the upper eyelid, while others may have deep hollows in the lower eyelid, and some may experience under-eye bags, deep tear troughs, and loose skin simultaneously.

At Dr. Eye, we focus on personalizing the eye hollow filling treatment plan based on anatomical structure, level of aging, and the unique characteristics of each client. The doctor conducts a thorough examination to identify the causes, select the appropriate method, and prioritize improving the hollowness adequately, helping the eyes appear brighter, fuller, and harmonious with the overall face.

1. What is Eye Hollow Filling?

Eye hollow filling is an aesthetic procedure aimed at improving the hollowness around the eyelids by adding or rearranging appropriate tissue volume. Depending on the location, degree of hollowness, and structure of the eye area, the doctor may consider autologous fat grafting, Hyaluronic Acid (HA) filler injections, or other intervention methods as indicated.

From an aesthetic perspectiveThe eye area can be divided into two common regions that often experience hollowness:

• Upper Hollowness: The area between the brow and the upper eyelid crease. When the volume of soft tissue decreases, this area can become deeply hollow, making the eyes appear gaunt and lacking softness.
• Lower Hollowness: The area beneath the lower eyelid margin, related to the tear trough and the transition point between the eyelid and the cheekbone. When this area lacks volume, hollows or shadows can make the gaze appear more fatigued.

The goal of filling the hollowness is not simply to increase the volume in the eye area. More importantly, the doctor needs to accurately identify the areas that require improvement, distribute the volume appropriately, and maintain balance between both sides.

A harmonious result is achieved when the hollowness is improved, and the contours around the eyes appear softer without creating a puffy eyelid look or excessively altering natural features.

2. Why Do Hollows Become Deeper Over Time?

Deep hollows can arise from congenital characteristics or structural changes in the tissue as part of the aging process.

2.1. Decrease in Soft Tissue Volume Around the Eyes

The eye area has thin skin along with a complex system of soft tissue and supportive structures. Over time, the volume of tissue in certain areas may decrease, causing the hollowness to become more pronounced.

For the upper eyelid, a lack of volume can lead to theThe area between the brow and the eyelid has lost its fullness.

In the lower eyelid, changes in soft tissue can make the tear trough more pronounced, creating dark areas under the eyes due to shadowing and making the face appear less vibrant.

2.2. Structural Changes in the Eye Area Due to Aging

The aging process occurs not only on the skin’s surface but also involves changes in the supportive tissues and bone structure of the face.

These changes can affect the continuity between the eyelids, eye sockets, and cheekbones. Therefore, while hollow eyes may present similarly, the degree and location of volume loss can vary significantly from person to person.

This is why observing a specific hollow area alone is insufficient to determine the appropriate filling method.

2.3. Hollow Eyes Due to Congenital Structural Characteristics

Not all cases of deep eye sockets are formed due to aging.

Some women have deep bone structures of the eye sockets or characteristic soft tissue distribution from a young age. These features can make the eye sockets appear more hollow compared to others.

In such cases, the doctor needs to distinguish between natural anatomical features and actual volume deficiency before considering intervention.

2.4. Hollow Eyes After Surgery or Weight Changes

In some cases, deep hollows in the eyelid area may appear after significant weight loss or previous cosmetic interventions.

Especially if the eyelid area has undergone surgery, the hollowness may be related to tissue deficiency, scarring, or changes in the structure of the eye area.

These casesA thorough assessment of the intervention history, current tissue structure, and eyelid function is necessary before selecting a revision option.

3. Recognizing Common Types of Hollow Under-Eyes

At Dr. Eye, distinguishing the manifestations around the eyes is a crucial step in developing a personalized treatment plan.

Note: The table above is for reference only and does not replace the results of a doctor’s examination and diagnosis.

Are you experiencing deep hollowness in the upper eyes, sagging lower eyelids, or prominent tear troughs?

Please leave a messagephone number in the consultation registration form on the Dr. Eye website. The consultation team will contact you, gather initial information, and assist you in scheduling an appointment for the doctor to evaluate the appropriate improvement method.

4. Methods for Filling Hollow Under-Eyes at Dr. Eye

Depending on the specific condition, Dr. Eye implements various methods to improve the volume of the eye area, focusing on the actual causes rather than choosing a one-size-fits-all technique for all clients.

4.1. Autologous Fat Grafting for Filling Hollow Under-Eyes

Autologous fat grafting is a method that uses fat tissue taken from the client’s own body, usually from the abdomen or thighs, which is then processed and injected into the hollow under-eye area that needs volume enhancement.

This is one of the treatment options that may be considered for hollow under-eyes due to a lack of soft tissue.

For the upper under-eye area, the doctor assesses the degree of hollowness, excess skin, eyelid crease, and symmetry on both sides before determining the filling locations.

For the lower eyelid area, the doctor also needs to consider the tear trough, under-eye bags, skin thickness, and the structure of the cheek area to decide if fat grafting is appropriate.

Potential Benefits of Properly Indicated Fat Grafting:

• Restores volume to the hollow under-eye area lacking soft tissue.
• Improves hollowness, making the eye area appear softer.
• Helps create balance among the structures around the eyelids.
• Utilizes autologous fat, suitable for certain cases requiring volume enhancement with the client’s own tissue.

However, the abilityThe survival of fat tissue after grafting varies from person to person. Some of the fat may be absorbed by the body during the recovery process. Therefore, the results and level of maintenance need to be assessed on a case-by-case basis and cannot be determined the same for all clients.

4.2. HA Injection for Under-Eye Hollowness

Hyaluronic Acid (HA) is an ingredient used in some types of soft tissue fillers.

For suitable cases of hollow under-eyes, the doctor may consider using HA to add volume to the sunken area, helping to improve the tear trough and create a softer transition between the lower eyelid and the cheekbone.

This method does not require harvesting fat from another area of the body. However, the under-eye area has a complex anatomical structure, requiring the doctor to carefully assess the indications, products, and intervention sites.

Factors to Consider Before Choosing HA Injection:

• Not every case of deep tear trough is suitable for direct filling methods.
• Areas with very thin skin, significant under-eye bags, or edema need to be evaluated cautiously.
• Results are temporary, and the duration of maintenance varies depending on the product, technique, and individual characteristics.
• This method still carries the risk of unwanted effects, including swelling, bruising, uneven surfaces, and rare but serious vascular complications.

At Dr. Eye, we prioritize accurately assessing the cause of hollowness before determining whether the client is suitable for HA injection or needs to consider other options.other methods.

4.3. Redistribution of Fat Pads Combined with Treatment of Under-Eye Bags and Tear Troughs

In middle-aged women, the appearance of hollowness in the under-eye area may not always stem solely from volume loss.

Some individuals may have prominent lower eyelid fat pads, while the area of the tear trough below appears deeply sunken. The contrast between these two areas makes the under-eye bags and tear troughs more pronounced.

In suitable cases, the doctor may consider Lower Eyelid Surgery Combined with Fat Pad Redistribution, utilizing existing tissue to improve the hollowed area.

This method can simultaneously address issues such as:

• Prominent under-eye bags due to lower eyelid fat pads.
• Deep tear troughs creating a contrast between the lower eyelid and the cheek area.
• Excess, sagging skin around the lower eyelid if indicated for treatment.
• A lack of continuity in the transition between the eyelid and the cheekbone.

The choice of fat pad redistribution, additional fat grafting, or other options must be based on the results of the actual examination.

Comparison Table of Methods to Improve Hollow Under-Eyes

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A key difference between methods lies not only in the technique used but also in the ability to address the specific causes of hollow under-eyes for each client.

5. How is the tear trough filling treatment plan personalized at Dr. Eye?

Each pair of eyes has differences in shape, anatomical structure, soft tissue volume, and aging level. Therefore, even with the same hollow under-eye appearance, two clients may require different intervention approaches.

At Dr. Eye, the treatment plan development process focuses on the following professional assessment steps:

Step 1: Examination and Identification of Causes of Hollow Under-Eyes

The doctor directly observes the eye area, assessing the depth of hollowness and related factors.

For the upper eyelid, factors considered include soft tissue volume, depth of the eyelid crease, excess skin, brow position, and the function of the eyelid lifting muscle.

For the lower eyelid, the doctor emphasizes evaluating the depth of the tear trough, the condition of fat bags, skin thickness, volume of the cheek area, and symmetry between both sides.

A thorough analysis helps distinguish between cases of actual volume deficiency and those with hollowness due to anatomical structure or other eye area issues.

Step 2: Analyzing the Level of Aging and Accompanying Issues

Hollow under-eyes may appear simultaneously with skinexcess upper eyelid skin, under-eye bags, deep tear troughs, or changes in the position of soft tissue structures.

If the focus is solely on filling the hollows without assessing related factors, the results may not achieve the desired harmony.

Therefore, the doctor will comprehensively evaluate the signs of aging around the eyes, identify priority issues, and determine the appropriate level of intervention.

Step 3: Choose a Personalized Treatment Method

After identifying the causes, the doctor will explain the applicable methods, expected benefits, and limitations to consider.

For instance, cases of sunken upper eyelids due to soft tissue deficiency may be considered for autologous fat grafting.

Meanwhile, clients with deep tear troughs combined with significant under-eye bags may need to evaluate options for addressing the fat pads and improving the transition between the lower eyelid and the cheek area.

Not every case requires a combination of multiple methods. Dr. Eye emphasizes selecting the appropriate level of intervention based on the needs and actual characteristics of each client.

Step 4: Health Check and Pre-Intervention Preparation

Before undergoing any necessary interventions, clients will provide information about their health, medical history, medications being taken, and related risk factors.

Depending on the prescribed method, the doctor may request blood pressure measurements, conduct tests, or perform additional checks to assess health conditions prior to the procedure.

This step is essential for the doctor to consider the suitability of the method and to mitigate any preventable risks.

Step 5: FollowPost-operative monitoring and outcome assessment

After treatment, Dr. Eye guides clients on how to care for the eye area based on each method and arranges appropriate follow-up appointments.

With autologous fat grafting, the volume of the treated area may change during recovery due to tissue reaction and partial absorption of fat tissue.

For HA injections, the doctor monitors the response at the intervention site, symmetry, and any unusual signs if present.

Follow-up appointments help assess actual results, the recovery process, and determine if adjustments to the care plan are needed.

6. Factors Affecting Tear Trough Filling Results

A harmonious tear trough filling result depends on many factors, among which three are particularly important.

Correct Indication of Condition

This is the basis for selecting the appropriate improvement method. Sunken eyes due to a lack of soft tissue will have a different approach compared to deep tear troughs accompanied by under-eye bags or eyelids that have previously undergone surgery.

Supplementing Adequate Volume

The eye area has a small and sensitive structure. Over-supplementing volume can make the eyelid area feel heavy, appear unnatural, or result in an uneven surface.

Therefore, the treatment goal should focus on balance rather than trying to achieve maximum fullness.

Monitoring the Recovery Process

Results after treatment are also influenced by individual constitution, technique used, tissue characteristics, and post-operative care.

Adhering to the doctor’s instructions and attending follow-up appointments on schedule are important factors for monitoring the stability of the eye area.

7. FillingIs hollow under-eye treatment safe?

Filling in hollow under-eyes is an aesthetic intervention that requires careful consideration due to the concentration of important anatomical structures in the eye area.

Depending on the method, clients may experience swelling, bruising, infection, uneven surfaces, or other unwanted reactions.

In particular, injection methods using fillers and fat grafting in the facial area carry a risk of vascular complications. Although rare, some complications can severely affect vision.

Therefore, safety depends not only on the products or techniques used but also begins with a thorough examination, determining indications, assessing risks, and preparing a management plan if necessary.

If severe eye pain, vision loss, or sudden loss of vision occurs after the procedure, clients need to be evaluated immediately.

At Dr. Eye, we emphasize the steps of examination, pre-operative health assessment, infection control, and post-treatment monitoring to prioritize safety throughout the entire client care process.

8. Why choose hollow under-eye treatment at Dr. Eye?

Filling in hollow under-eyes requires an understanding of the eye area’s structure and the ability to accurately analyze the causes of hollowness. This is also why Dr. Eye focuses on developing specialized rejuvenation solutions for middle-aged women.

Specialized in eye-area rejuvenation: Dr. Eye focuses on issues such as excess skin on the upper eyelid, hollowness of the eyelids, under-eye bags, deep tear troughs, and signs of aging around the eyes. This specialized approach helps in the examination and selection of methods.performed in relation to the entire structure of the eye area.

Doctor’s Expertise: Dr. Nguyen Thi Ly Na has over 10 years of experience in the field of aesthetic eye and facial surgery. Evaluating anatomical structure and determining treatment plans are key focuses at Dr. Eye.

Personalized Treatment Plan: We do not apply a one-size-fits-all approach to hollow under-eye conditions. The doctor assesses soft tissue characteristics, aging levels, skin condition, and accompanying issues to select the appropriate solution.

Emphasis on Natural Harmony: Filling hollow under-eyes does not mean creating overly tight eyelids or completely changing the shape of the eyes. Dr. Eye prioritizes balance, softness, and preserving the unique features of each client’s face.

Monitored Care Process: From the examination step, pre-procedure preparation to post-operative care, clients receive guidance and monitoring tailored to the method performed.

9. Frequently Asked Questions About Tear Trough Correction

Does tear trough correction help make the eyes look younger?

It may. In cases of hollow under-eyes due to volume loss, an appropriate filling method can help reduce the hollowness, soften the contours, and create a more vibrant appearance. The degree of improvement depends on the cause, the structure of the eye area, and the method indicated.

For deep hollow under-eyes, should I opt for fat grafting or HA injections?

There is no method suitable for all clients. HA injections are temporary, while fat graftingThe body uses its own tissue and requires time to assess the viability of the tissue after implantation. The doctor will consider the hollowness, the degree of volume deficiency, and risk factors before providing a consultation.

Will filling the hollowness eliminate dark circles?

This depends on the cause of the dark circles. If the dark area primarily results from shadows due to hollow under-eyes or deep tear troughs, improving the hollowness may help reduce the visibility of the dark area. However, dark circles caused by pigmentation, blood vessels, or other factors may require specific treatment approaches.

Can hollow under-eyes with under-eye bags be filled?

In some cases, it is possible to improve both under-eye bags and tear troughs simultaneously with the appropriate method. However, having under-eye bags and hollowness does not automatically mean that additional fillers should be injected. The doctor needs to assess the fat pads, excess skin, and lower eyelid structure before making a recommendation.

How long does the filling of hollowness last?

The duration of maintenance varies depending on the method, product, tissue characteristics, and individual constitution. HA provides temporary results, while autologous fat may maintain some volume after the tissue stabilizes. There is no universal timeframe applicable to all clients.

Is recovery needed after filling the hollowness?

The recovery time depends on the technique used and the individual’s response. HA injections typically involve a different level of intervention compared to autologous fat grafting or lower eyelid surgery. The doctor will advise on the care duration, activities to limit, and an appropriate follow-up schedule.

What is the cost of filling hollowness at Dr. Eye?

How much?

The cost depends on the chosen method, products or techniques applied, and the condition of the eye area that needs treatment.

After the examination, Dr. Eye will advise on the appropriate method and provide estimated cost information for you to consider before making a decision.

You can leave your phone number in the registration form to receive information about costs and schedule a consultation.

10. Dr. Eye: Personalized Hollow Eye Filling, Preserving Natural Beauty

Deep hollow eyes can make your gaze appear tired, accentuating signs of aging on the face. However, improving this condition is not just about adding volume to the sunken areas; it requires a thorough analysis of the structure and level of aging of each pair of eyes.

At Dr. Eye, we focus on accurately diagnosing the cause, selecting the appropriate method, and personalizing the level of intervention to help enhance the eye area harmoniously, making it look fresh while maintaining its natural contours.

Register for a Consultation on Hollow Eye Filling with Dr. Eye

Each hollow eye condition requires a unique assessment. Let the doctor help you determine the method that suits your eyes.

You just need to leave your information in the registration form below for the Dr. Eye team to contact you for consultation support and to arrange an examination appointment.

Register for a Consultation with the Eye Doctor

Dr. Eye | ClinicSpecialized Eye Rejuvenation for Middle-Aged Women

Address: 07 Nguyen Co Thach, An Khanh Ward, Ho Chi Minh City.

Note: The content of this article provides reference information and does not replace direct examination and diagnosis. Treatment results depend on the condition and characteristics of each client.