What should you know about cheek filler for under eye hollows?

Under-eye hollows are a depression near the lower eyelid that can cast a shadow. Reduced cheek volume may make the junction look deeper, so adding support to the upper cheek can change the contour beneath the eye. Pigment, visible vessels, puffiness, thin skin and eyelid structure can also contribute to the appearance. Read about [Tear Trough Hollows](/conditions/tear-trough-hollows/) and [Dark Circles](/symptoms/dark-circles/) to separate these concerns.

Seek an assessment from a clinician experienced with the eye area. They should review asymmetry, puffiness, previous procedures, medicines and allergies, then explain whether cheek filler, [Under-Eye Filler](/treatments/injectables/tear-trough-filler/), [Eyelid Surgery](/treatments/surgical-dermatology/blepharoplasty/) or [Fat Transfer](/treatments/surgical-dermatology/fat-grafting/) fits your anatomy. Ask how swelling may look, what follow-up involves and which symptoms need rapid review. Avoid rubbing or pressing the treated area unless instructed.

Report worsening pain, unusual skin colour, increasing swelling, spreading redness, fever or drainage to the clinic. New double vision, blurred or reduced vision, severe headache, weakness or trouble speaking is urgent and should not wait for a routine review.

Is the shadow caused by a hollow, pigment, puffiness or cheek volume loss? Would cheek treatment be safer or more suitable than direct under-eye filler for me? How will you manage asymmetry? What is the plan if swelling or a visible irregularity persists?