A hollow eye refers to a lack of volume in the upper eyelid area. It must be distinguished from round eyes, where the sclera (the white part of the eyeball) is more exposed due to eyelid retraction. A hollow eye can sometimes give the impression of a round eye, but these are two different conditions. A hollow eye makes the gaze appear aged and tired. A youthful eye is a full eye !
Hollow eyes are characterized by a loss of volume in the upper eyelid. This aesthetic concern is often associated with pronounced under-eye circles, a tired appearance, and thin skin around the eyes.
How to get rid of hollow eyes ? Hyaluronic acid injections offer an effective and safe solution to correct hollow eyes. The gaze becomes rejuvenated and radiant.
Until a few years ago, the only way to treat this concern was through surgery: upper eyelid lipofilling. Thanks to advances in the medical field, hollow eye correction can now be performed without heavy downtime, using hyaluronic acid injections directly into the upper eyelid. The procedure is performed in the office and takes about fifteen minutes.
Eye hollowing is the result of volume loss in the fat and/or bone structures.
Several factors can cause upper eyelid hollowing.
To reduce the appearance of sunken eyes, it is necessary to identify the underlying factors.
This condition is often caused by volume loss, leading to a hollow and tired appearance.
To address this, the non-surgical option available in aesthetic medicine is the injection of hyaluronic acid.
Hyaluronic acid injections are particularly effective, as they restore lost volume and naturally fill the hollows.
This safe and precise procedure helps restructure the orbital area, reducing the appearance of sunken eyes.
The face looks more rested and rejuvenated.
There is no definitive way to prevent the appearance of hollow eyes. However, skincare and lifestyle influence the hydration and brightness of the skin in this area.
Therefore, it is advisable to :
Filling the upper eyelid is done either through hyaluronic acid injection in aesthetic medicine, or upper eyelid lipofilling in aesthetic surgery.
Dr. Romano uses a non-hydrophilic hyaluronic acid such as Restylane, injected with a cannula along the upper orbital rim.
The number of syringes used varies between one and three. Beyond that, Dr. Romano recommends surgical lipofilling.
The filling must be done progressively to allow the product to settle properly.
Dr. Romano often injects only one syringe (for both eyes) per session. Sessions should be spaced two months apart.
Given the technical difficulty, this injection is performed by only a few practitioners.
The injection of hyaluronic acid to correct hollow eyes is a simple and quick procedure.
During the initial consultation, Dr. Romano analyzes the patient’s anatomy, discusses their expectations, and explains the possible outcome.
In fact, for very pronounced hollowness, the best – and sometimes only – solution is surgical intervention.
Significant skin laxity in the upper eyelid may become more evident after injection. In these cases, Dr. Romano will inform you and, in most cases, advise against the injection.
Hyaluronic acid is meticulously injected at the level of the upper orbital rim, against the bone and not into the upper eyelid, using a cannula. The cannula is a blunt-tipped needle. Injection into the upper eyelid causes permanent swelling, lump formation, and the Tyndall effect.
The procedure usually lasts about ten minutes and is minimally painful.
After the session, the patient is advised to avoid sun exposure and physical activity for the first 24 hours.
The safety of hyaluronic acid injections around the eyes is a primary concern for both patients and practitioners.
Although this is a minimally invasive procedure, it must be performed by an experienced and qualified doctor to ensure optimal and risk-free results.
In terms of results, a poorly performed injection can lead to :
To ensure a safe injection, it is essential to consult a practitioner who possesses :
Depending on the patient's needs and request, a comprehensive eye rejuvenation treatment is performed.
The result is not truly immediate. The eyelids are swollen at the end of the session. This swelling tends to increase to a varying degree in the days that follow.
The final result is obtained three weeks after the injection. The eyes appear refreshed and rejuvenated. The face looks brighter.
Bruising is rare.
Touch-ups are done every two years, with only one syringe necessary, regardless of the quantity used during the initial injection.
In Geneva, the price for a hyaluronic acid injection to correct a hollow eye is 900 CHF per syringe. The number of syringes needed is assessed during the medical consultation, based on the depth of the hollow and the patient’s morphology. Often, 2 syringes are sufficient. In cases of significant and circumferential hollowing of the upper eyelid, Dr. Romano may refer you to a surgeon for a possible lipofilling procedure.
Patients who have undergone hyaluronic acid injections to treat hollow eyes express overwhelmingly positive feedback.
Many report great satisfaction with the improvement in their gaze : the eyes look less tired and more youthful.
Most patients feel little or no pain.
Patients are asked to avoid sun exposure, saunas and physical activity for 24 hours.
It is impossible to prevent age-related hollowing of the eyes. There are a number of things you can do to slow the ageing of the skin around your eyes. It is advisable to keep the skin around the eyes well hydrated by using specific moisturisers.
To combat premature skin ageing, it is advisable to protect the skin from the sun by wearing sunglasses and applying sunscreen.
Results can last between one and two years, depending on individual metabolism and the product used.
The only effective treatments are hyaluronic acid injections and lipofilling of the upper eyelid.
Hyaluronic acid injections effectively fill hollows. The results are temporary but long-lasting.
