How to Reduce Under-Eye Hollows

Under-eye hollows reflect shape, shadow, skin, and volume changes; treatment may involve skin care, filler, fat transfer, or eyelid surgery after assessment. A hollow can be more noticeable with tiredness, dehydration, or lighting without representing a new disease.

Tear-trough hollows are the groove between the lower eyelid and cheek. They can relate to facial structure, ageing-related volume change, thinner skin, or shadows from nearby puffiness. [Dark Circles](/symptoms/dark-circles/) and [Facial Volume Loss](/symptoms/facial-volume-loss/) may make the area look deeper, but they are different concerns.

A consultation should consider the under-eye skin, cheek support, bags, pigmentation, allergies, and facial symmetry. That assessment helps determine whether adding volume would address the shadow or whether another approach is more suitable.

Use broad-spectrum sun protection, moisturiser, and gentle cleansing; avoid rubbing the eyelids and manage irritation or allergies with medical guidance. Sleep, hydration, and a cool compress may reduce temporary puffiness, although they do not rebuild lost volume.

For selected patients, [Under-Eye Filler](/treatments/injectables/tear-trough-filler/) can add volume. [Fat Transfer](/treatments/surgical-dermatology/fat-grafting/) uses transferred tissue, while [Eyelid Surgery](/treatments/surgical-dermatology/blepharoplasty/) may address excess skin or fat. Each has different risks, recovery, and suitability.

Arrange an examination for a new one-sided hollow, swelling, pain, redness, vision change, or a change after an injection or injury. Seek urgent care for severe eye pain, sudden visual loss, marked swelling, or difficulty moving the eye.

Ask what is creating the shadow, whether your eyelid and cheek anatomy suit volume treatment, what alternatives exist, how long recovery takes, and which symptoms after treatment need urgent review.