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Understanding and Managing Under Eye Hollowness

Nov 02, 2023

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Understanding and Managing Under Eye Hollowness

Under eye hollowness, also known as tear trough deformity, is a common concern that can affect your appearance and make you appear tired or aged. In this blog, we'll explore the causes, prevention, and various treatment options to help you understand and address under eye hollowness.

Causes of Under Eye Hollowness

  1. Aging: The aging process leads to a loss of fat and collagen, causing the skin to thin and become less elastic. This can create hollows under the eyes.

  2. Genetics: Some individuals are genetically predisposed to under eye hollowness.

  3. Lifestyle Factors: Smoking, excessive alcohol consumption, and poor nutrition can contribute to the premature development of hollowness.

  4. Sun Damage: Prolonged exposure to the sun's harmful UV rays can accelerate the breakdown of collagen and elastin, leading to under eye hollowness.

  5. Allergies: Chronic allergies and sinus issues can cause congestion and exacerbate hollowness by increasing puffiness and dark circles.

Preventing Under Eye Hollowness

Prevention is often the most effective strategy for under eye hollowness. Here are some tips to help you reduce your risk:

  1. Sun Protection: Use sunscreen and wear sunglasses to protect your eyes from UV radiation and maintain the elasticity of the skin.

  2. A Healthy Lifestyle: Avoid smoking and limit alcohol consumption. A balanced diet with ample hydration can help keep your skin healthy.

  3. Skincare: Use a good-quality moisturizer and eye cream to keep the skin hydrated and minimize the appearance of hollowness.

  4. Manage Allergies: Seek treatment for allergies and sinus issues to minimize puffiness and congestion.

Treatment Options for Under Eye Hollowness

If under eye hollowness is already a concern, several treatment options can help improve its appearance:

  1. Dermal Fillers: Hyaluronic acid-based fillers like Restylane can be injected into the tear trough area to add volume and reduce hollowness. At Revive Wellness we recommend also supporting the midface/cheek which often contributes to the exageration of the tear trough appearance 

  2. Botox: Botox injections can be used to relax muscles that contribute to under eye hollowness, resulting in a smoother appearance.

  3. Topical Creams: Certain creams containing ingredients like retinol, peptides, and hyaluronic acid may help improve skin texture and hydration.


Under eye hollowness is a common cosmetic concern that can affect your self-esteem. While it may be challenging to prevent completely, various treatment options are available to help address and manage it effectively. Early intervention can often yield better results, so consult with a Revive Wellness specialist today to explore the best solution for your under eye hollowness concerns. By taking proactive steps to address this issue, you can regain a more youthful and refreshed appearance.