What Is the First Treatment for Tear Trough Hollows?

Tear trough hollows are a shadowed groove between the lower eyelid and cheek. Their appearance can reflect facial structure, thin skin, reduced soft-tissue fullness, or nearby puffiness. Filler may soften a hollow by adding support beneath the skin, but it is not suitable for every under-eye concern. A clinician first checks whether darkness comes from a depression, pigment, visible vessels, loose skin, or swelling. Those causes can need different care.

Arrange an in-person assessment with a qualified medical injector who treats the under-eye area regularly. Bring a list of medicines and mention allergies, previous filler, eye conditions, swelling, or planned procedures. Ask whether observation, skincare, filler, or another option fits the cause of the hollow. Eyelid surgery may be discussed when loose skin or prominent fat contributes; fat transfer is another volume-restoration approach. Results and suitability depend on anatomy, skin quality, and the treatment plan.

Seek prompt medical advice for a new one-sided hollow with pain, marked swelling, redness, vision change, or injury. After an injectable treatment, urgent assessment is warranted for severe or increasing pain, pale or mottled skin, sudden visual symptoms, or rapidly worsening swelling. These signs need clinical review rather than home treatment.

What is creating the shadow under my eyes? Would filler improve the hollow or make nearby puffiness more noticeable? Which product and injection plan would you use? What symptoms after treatment should prompt urgent contact?