Restore a refreshed, youthful appearance by addressing under-eye hollowness, a common cause of dark circles, tired-looking eyes, sunken tear troughs, and shadowing. As a dual-fellowship trained oculofacial plastic surgeon, Dr. David Isaacs specializes in precise, customized treatments that target these concerns. Whether your symptoms are subtle or advanced, he offers expert solutions tailored to your unique facial anatomy and goals.
Restore a Youthful Look by Filling Hollow Areas
Under-eye hollows, also known as tear trough deformities or orbital rim hollows, refer to the deep groove between the lower eyelid and upper cheek. This area often appears sunken or shadowed, contributing to dark circles, a fatigued look, or premature aging of the midface. These hollows may be worsened by upper eyelid hollowing (superior sulcus deformity) or prominent lower eyelid bags, both of which can exaggerate shadowing.
While many over-the-counter products claim to address these issues, they are often ineffective or provide short-term results. However, Dr. Isaacs offers a range of personalized treatments to correct under-eye hollows for good. Using both nonsurgical and surgical techniques, including fillers, fat transfer, and tear trough implants, he designs each plan based on detailed facial analysis to restore natural volume and harmony to the midface.
Common Symptoms of Under-Eye Hollows:
- Appearing tired even when well-rested
- Visible dark circles under the eyes
- Shadowing along the lower eyelid
- A sunken or hollow look beneath the eyes
- A harsh transition between the eyelid and cheek
- Worsening of hollowing with upper eyelid volume loss
- Puffiness or bags sitting above the hollow area
Dr. Isaacs’ Approach to Under-Eye Hollow Correction
Dr. Isaacs offers a comprehensive, customized approach to correcting under-eye hollows. Each treatment is carefully selected based on an in-depth examination of your anatomy, concerns, and goals. Whether you prefer a non-invasive option or are seeking permanent correction, Dr. Isaacs provides natural, balanced results using the most advanced techniques available.
Hyaluronic Acid Fillers
For patients seeking a nonsurgical solution, Dr. Isaacs offers expertly placed hyaluronic acid gel fillers to restore lost volume in the tear trough. Unlike standard filler injections, his technique is highly customized, often correcting prior poor results using hyaluronidase to dissolve old filler before reinjecting. The treatment is performed in-office with topical numbing, takes only a few minutes, and involves minimal downtime. The results typically last 6 months to 2 years.
Fat Transfers
Fat transfer offers a long-lasting solution for patients seeking natural volume restoration. Dr. Isaacs harvests fat from areas like the abdomen or thigh, processes it, and carefully injects it into the under-eye area. This method is ideal for individuals with significant volume loss, and it provides soft, natural results that can be refined with touch-ups if necessary. The minimally invasive procedure is performed under local anesthesia or sedation.
Tear Trough Implants
Tear trough implants are a permanent option for augmenting the hollow at the lower orbital rim. Dr. Isaacs uses a transconjunctival approach (an incision hidden within the eyelid) to insert the silicone implant, thereby avoiding visible scars and preserving the eyelid’s structure.
The implant integrates smoothly with the surrounding tissue, enhancing the eye-cheek transition. In rare cases of residual hollowness, fillers can also be used to enhance the results.
Lower Blepharoplasty With Fat Repositioning
For patients with both hollowness and lower eyelid bags, lower blepharoplasty with fat repositioning is an option. Dr. Isaacs uses the scarless transconjunctival approach to preserve eyelid integrity while repositioning fat from the eyelid into the hollow area. This helps smooth the contour between the lower eyelid and cheek, restoring a youthful appearance. This procedure is ideal for those seeking a surgical solution with lasting results and no external scarring.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic and facial cosmetic surgeon with advanced fellowship training from UCLA. Known for his meticulous techniques and natural-looking results, Dr. Isaacs offers both nonsurgical and surgical options for under-eye hollow correction tailored to your unique anatomy. If you’re ready to restore a youthful appearance, schedule your consultation for under-eye hollow correction in Beverly Hills today.
