By Dr. David Deng
DO YOUR PATIENTS complain that they always look tired in the mirror? Is the hollowness underneath their eyes so severe that no amount of makeup can conceal it?
The eyes are usually the first facial feature that one will notice when looking into the mirror. In recent years, an increasing number of both men and women are seeking filler treatment to resolve their tiredlooking eyes. Therefore, it is important for injectors to know how to use fillers to effectively treat undereye hollowness.
What causes undereye hollowness?
In order to treat undereye hollowness effectively, we need to first understand what causes it. Undereye hollowness worsens the appearance of dark eye circles and makes one look tired and old. This happens because of either a true or pseudo tear trough deformity. In true tear trough deformity, the skin beneath the eyes is attached directly to the underlying muscle and orbital bone causing a concave appearance.1 This is more evident in some individuals due to genetics, and start early on in the teenage years.
On the other hand, pseudo tear trough deformity is caused by aging due to deep medial cheek (medial sub-orbicularis oculi and… To read more, click here.