Hollow under eyes can make your face appear tired even when you feel well-rested. At Kopelman Aesthetic Surgery in New York City, Dr. Joel Kopelman, a board-certified plastic surgeon and oculoplastic expert, performs precise filler treatment using tear trough fillers and dermal fillers to restore smoothness, brightness, and youthfulness to the under-eye area.
His approach focuses on adding volume safely, achieving a refreshed yet natural result with products that are FDA-approved for cosmetic use.
Key Takeaways
- Fillers for under-eye hollows like Restylane and Juvederm are safe, FDA-approved, and effective solutions that restore volume and improve symmetry.
- Results typically last 9 to 18 months, depending on the type of hyaluronic acid filler, injection depth, and individual metabolism.
- Dr. Kopelman uses advanced techniques to add volume, reduce eye bags, and improve skin texture for smoother under-eye contours.
- Choosing a qualified plastic surgeon ensures both safety and results that look natural and balanced.
- Maintenance every 12 to 18 months helps sustain long-term brightness and improve skin quality under the eyes.
Understanding Under Eye Hollows
Under-eye hollows develop when the soft tissue beneath the eyes becomes thinner or shifts downward with age, creating shadows and uneven texture. These changes often occur alongside eye bags or mild puffiness.
The condition results from volume loss, thinning skin, and collagen depletion. By using tear trough fillers, Dr. Kopelman restores the natural contour of the lower eyelids, improving firmness and skin quality in the process.
What Causes Under-Eye Hollowness
Common causes include:
- Aging: Fat pads descend, and elasticity weakens.
- Genetics: Some individuals naturally have deeper tear troughs.
- Lifestyle: Lack of sleep, dehydration, and stress accentuate hollowness.
- Weight Loss: Rapid fat reduction deepens facial shadows.
Aging and heredity also cause visible blood vessels to appear through thinner skin. A professional filler treatment performed by an experienced injector or plastic surgeon can safely correct these issues.
How to Fix Under Eye Hollows Without Filler
Some patients improve mild hollowness through:
- Eye creams: Help hydrate and improve skin elasticity.
- Laser therapy: Stimulates collagen for better tone and firmness.
- PRP therapy: Uses your own plasma to rejuvenate delicate skin.
- Fat transfer methods: Utilize your body’s natural fat to replace lost fullness.
While these options can enhance texture, fillers for under-eye hollows and dermal fillers remain the fastest and most effective solutions for restoring balance and light reflection under the eyes.
What to Know About Under-Eye Fillers
Fillers for under the eyes are injectable gels made from hyaluronic acid filler, a naturally occurring substance that retains moisture and supports structure. Most brands used by Dr. Kopelman are FDA-approved and designed specifically for the tear trough area.
When injected correctly, fillers not only add volume but also improve skin texture and brightness. The treatment requires precision and should always be performed by a qualified plastic surgeon to ensure safety and beautiful, balanced results.
What Filler Is Used for Under-Eye Hollows
Dr. Kopelman commonly uses tear trough fillers such as Restylane and Juvederm. Both are smooth, flexible hyaluronic acid fillers that integrate naturally into the skin and help minimize eye bags.
These FDA-approved fillers effectively reduce dark shadows by adding volume beneath the skin and improving hydration, giving the under-eye area a rejuvenated, even appearance.
Choosing the Best Filler for Sunken Eyes
Each patient’s anatomy determines the ideal filler. Softer gels suit thinner skin, while denser products are better for deep hollows. A detailed evaluation ensures the chosen filler enhances your natural proportions.
Dr. Kopelman determines whether fillers for under eyes, tear trough fillers, or fat transferred techniques are most appropriate based on facial structure and treatment goals. His approach ensures long-term correction while improving skin quality.
Restylane vs Juvederm: Key Differences
Both Restylane and Juvederm are dermal fillers used for the under-eye area, but each behaves slightly differently:
- Restylane: Firmer consistency, ideal for structural support in the tear trough.
- Juvederm: Smoother formula, perfect for subtle blending beneath thin skin.
Dr. Kopelman selects the best hyaluronic acid filler based on anatomy and desired results. Both options are FDA-approved and proven to deliver safe, lasting results.
Is Botox or Filler Better for Sunken Eyes
Botox reduces wrinkles by relaxing muscles, while fillers for under eyes restore lost volume. For hollowing caused by volume loss, fillers offer superior improvement.
In many cases, Dr. Kopelman combines both treatments – Botox for surface wrinkles and fillers to add volume beneath the skin, simultaneously softening lines and improving skin tone.
Botox vs Filler Comparison
This comparison helps patients decide whether a single treatment or a combination plan will provide the most balanced outcome.
Longevity, Safety, and Natural Results
Results from fillers for under-eye hollows typically last 9 to 18 months, depending on metabolism and filler density. Because the under-eye region contains delicate blood vessels, proper technique is essential.
Dr. Kopelman’s filler treatment approach minimizes risk by using fine cannulas and precise injection points. His focus is on adding volume conservatively for a smooth, natural look. All products used are FDA approved, ensuring both quality and patient safety.
Recovery Timeline and Maintenance
Mild swelling or tenderness may occur after treatment, usually resolving in a few days.
- Days 1–3: Slight puffiness or sensitivity.
- Week 1: Smoother texture and reduced shadowing.
- Weeks 2–3: Full integration of filler for optimal improvement of skin quality.
Maintenance sessions every 12–18 months help prevent recurrence of volume loss and maintain results long-term.
Treatment Guide and Cost
A filler treatment session lasts about 30 minutes. A topical anesthetic minimizes discomfort, and a micro-cannula helps avoid bruising near blood vessels.
In New York City, fillers for the under eyes range between $1,200 and $2,000 per syringe, depending on the type of hyaluronic acid filler used. Working with a board-certified plastic surgeon ensures safety, precision, and the most natural outcome.
How Much Filler Is Needed for Hollow Under Eyes
Most patients require between 0.5 and 1 milliliter per side. Dr. Kopelman carefully layers the filler to add volume gradually, creating symmetry and avoiding overcorrection.
Under Eye Filler Cost and Value
Although the treatment requires an investment, it’s far less invasive than surgery and offers immediate, long-lasting improvement. Compared to fat transfer or surgical options, tear trough fillers provide flexibility and faster recovery.
Results and Recovery
Results appear immediately and continue to refine over one to two weeks. The under-eye area looks smoother, brighter, and free of eye bags.
Dr. Kopelman’s precise application improves both structure and skin quality, enhancing overall radiance.
Filler for Hollow Under Eyes Before and After
Before treatment, patients often have visible hollows or dark shadows. After fillers for the under eyes, contours appear softer and more even, with improved texture and hydration.
Patients describe their transformation as subtle yet impactful – looking more awake and youthful without a drastic change.
Contraindications and Safety Screening
You may not be a suitable candidate for under-eye filler if you:
- Are pregnant or breastfeeding.
- Have active infections or skin irritation.
- Are allergic to filler ingredients.
- Use blood thinners without approval.
Each treatment plan is personalized to maximize safety and effectiveness.
Complication Management and Reversal
If needed, hyaluronic acid fillers can be safely dissolved with hyaluronidase. Dr. Kopelman’s experience as a plastic surgeon ensures quick, effective management of any irregularities or swelling near blood vessels.
His filler treatment techniques prioritize accuracy, safety, and natural results, minimizing complications.
Risks, Side Effects, and Recovery Tips
Minor bruising or redness may appear but fade quickly. To reduce risks:
- Choose a qualified, board-certified injector.
- Avoid alcohol and blood thinners before treatment.
- Follow post-care guidance carefully.
When performed with proper technique, dermal fillers and tear trough fillers deliver predictable, long-lasting improvement in structure and skin quality.
Finding the Right Specialist
Selecting the right specialist ensures both safety and satisfaction. Choose a plastic surgeon or oculoplastic expert with proven experience in filler treatment around the eyes.
Dr. Joel Kopelman brings over 35 years of expertise, combining medical precision with aesthetic artistry to achieve natural, rejuvenated under-eye results.
How to Choose a Qualified Injector
When selecting your injector, look for:
- Board certification in plastic or oculoplastic surgery.
- Demonstrated success in treating tear troughs.
- Use of FDA-approved fillers and safe technique.
- Focus on subtle, patient-tailored enhancement.
A skilled injector ensures fillers add volume, reduce eye bags, and improve skin texture while maintaining natural harmony.
Frequently Asked Questions about Filler for Hollow Under Eye
How soon can I wear makeup after treatment?
Can fillers be combined with other procedures?
When should I plan a touch-up?
At Kopelman Aesthetic Surgery, Dr. Joel Kopelman delivers natural, confident rejuvenation using tear trough fillers, dermal fillers, and hyaluronic acid fillers that are FDA approved. His precise filler treatment techniques reduce eye bags, restore lost volume, and improve skin texture, helping patients look revitalized and youthful with long-lasting results.
Schedule a consultation with Dr. Joel Kopelman at Kopelman Aesthetic Surgery in New York City to learn if under-eye filler treatment is right for you. His personalized approach ensures natural results, expert care, and a smoother, more confident appearance.
