Under-eye hollows may be helped by hyaluronic acid filler for volume loss, skin boosters such as Rejuran Healer for thin skin, and collagen-stimulating treatments for laxity. At Re:berry Hongdae, a doctor first checks whether the hollow is due to volume loss, thin skin, pigment or bone structure, since each needs a different approach. Results vary by individual.
Re:berry Clinic Hongdae · Information reviewed for accuracy · Results vary by individual.
What causes under-eye hollows?
Hollows under the eyes, sometimes called tear troughs, form when the area between the lower eyelid and cheek loses support. Common causes include:
- Volume loss in fat pads and bone with age
- Thin skin that reveals underlying muscle and vessels
- Genetics, with some people having deeper troughs from a young age
- Laxity and early eye bags that create a shadow below
- Lifestyle factors such as poor sleep, dehydration and rubbing the eyes
Which treatments can help?
Hyaluronic acid filler
A soft HA filler such as Restylane can restore volume in carefully selected patients. The under-eye area is delicate, so conservative amounts and precise placement are important. Filler may not suit people with significant puffiness or eye bags. See Restylane for under-eye hollows.
Skin boosters
Rejuran Healer and similar boosters may improve skin thickness and quality, which can soften the look of shadows and fine lines without adding volume. They are often planned as a series.
Collagen-stimulating treatments
Devices such as Thermage FLX with an eye tip may help tighten mild laxity around the eyes.
What about dark circles?
Hollows often look like dark circles because of shadowing, but true darkness can also come from pigment or visible blood vessels. Pigment may respond to gentle laser, while vascular darkness needs a different approach. Learn more on our page about under-eye hollows and dark circles.
Risks to know
Under-eye filler can cause swelling, bruising, lumps or a bluish tint if placed too superficially, and rare vascular complications. HA filler can be dissolved if needed. Boosters may leave small bumps for a few days. A doctor's assessment is essential before choosing a treatment.
Can lifestyle changes help?
Good sleep, hydration, sunscreen around the eyes and not rubbing them can reduce how tired the area looks, but they do not restore lost volume. Treating allergies that cause eye rubbing may also help the skin stay healthier.
At a glance
- Volume loss: HA filler in selected patients
- Thin, crepey skin: Skin boosters such as Rejuran Healer
- Laxity: Collagen-stimulating devices around the eyes
- Dark color: Pigment or vascular causes may need different care
- Downtime: Boosters: 1–3 days; filler: swelling up to about a week
Related questions
Is under-eye filler safe?
Under-eye filler can be done safely in suitable patients by an experienced doctor using appropriate products and technique, but it carries risks such as swelling, lumps, discoloration and rare vascular complications. Because the area is delicate, conservative amounts and careful assessment are important.
Can skin boosters replace under-eye filler?
Not exactly. Boosters improve skin quality and thickness but do not add significant volume. For mild hollows mainly due to thin skin, boosters may be enough. For deeper volume loss, filler or a combination may be considered after consultation. Results vary by individual.
How long do under-eye treatments last?
HA filler under the eyes often lasts longer than in mobile areas, commonly cited around 6–12 months or more. Booster effects build over a series and typically need maintenance. Longevity varies with age, lifestyle and the product used. The doctor will explain what to expect.
Keep reading
Before you book
This page is general information, not a diagnosis. Suitability, dose, number of sessions and expected results are decided by a doctor at consultation, and results vary by individual. Possible side effects include redness, swelling and bruising. Pricing is confirmed in writing before any treatment. See our medical disclaimer.
Still have a question?
A doctor at Re:berry Clinic Hongdae can answer it for your skin specifically. Multilingual consultation support is available.