Fillers for Hollow Eyes
Some people choose to get hyaluronic fillers, such as Juvederm or Restylane, injected under their eyes. "Fillers mimic a youthful look by correcting the contours of the eye socket," Eviatar says.
If you pursue this, you really want someone who knows what they're doing. Injecting dermal fillers under the eye is, Moelleken warns, a very "technique-dependent" procedure. The filler needs to be injected deep under the muscle rather than into the superficial layers of the skin. An inexpert job can lead to puffiness. So choose a skilled, board-certified dermatologist, plastic surgeon, or ophthalmic surgeon who is experienced in under-eye injections.
The procedure costs about $500 to $700. Results last about eight months. Ask your doctor about side effects, such as minor swelling and bruising that can last for a week or two. Your doctor may suggest injecting Botox, Dysport, or Xeomin (wrinkle-smoothers that erase crow's feet) at the same time. But it's up to you how much, or how little, you want to do.
Eyelid Surgery Gets a Makeover
Some people choose to go further to address sagging skin that creates pouches under their eyes.
Today, eyelid surgery, or blepharoplasty, is done through incisions made in the eyelid. Doctors may remove a little bit of fat, reposition the fat, or even add fat grafts, depending on what's needed. Lasers are used to firm up loose skin. These procedures cost between $2,500 to $5,000, and recovery from bruising and swelling takes 10 days to two weeks.