Sunken Eyes – Causes & Treatments

Addressing Sunken Eyes with Non-Surgical and Surgical Plastic Surgery Methods

Sunken eyes, a prevalent cosmetic concern, often come as a package deal with ageing. As the years go by, the skin around our eyes can begin to lose elasticity and the face may lose fat, which can lead to a hollow or sunken appearance around the eyes.

In some cases, individuals may find that their sunken eyes have developed or worsened due to a past cosmetic surgery treatment. For example, if you’ve previously undergone a lower eyelid surgery that was not carried out to a high standard, or was too invasive, it could result in eyes that appear hollow. Similarly, surgical procedures intended to diminish the appearance of eye bags can sometimes inadvertently lead to sunken eyes, especially if too much fat from the under-eye area is removed. This excessive removal can highlight the darker shade of the muscle and tissue beneath the thin layer of skin, making the eyes appear more hollow or sunken.

The good news is, regardless of the origin of your sunken eyes, there are several plastic surgery options available to rectify this and help you regain a refreshed eye contour.

At Centre for Surgery, our London-based specialist plastic surgery clinic, our surgeons possess extensive experience in performing eyelid surgery and various facial cosmetic procedures. They are highly skilled in correcting the look of hollow or sunken eyes. Our dedicated team will work closely with you to develop a personalised plan that suits your specific needs and aspirations. Whether you choose a surgical or non-surgical method, our aim is to help you enhance your appearance and feel more confident about the way you look.

RELATED: Natural Looking Blepharoplasty in London

What are sunken eyes?

The area around the eyes, also known as the periocular region, is often the first area of the face to show visible signs of ageing. Sunken eyes are one of the most common signs of ageing, affecting the upper part of the face. How sunken eyes appear will differ between people. However, the underlying problem causing sunken eyes is related to thinning skin under the eyes. This is due to the loss of collagen and elastin as part of the natural ageing process. This can cause a hollowed, darkened or sunken appearance.

Sunken eyes can make people look tired or fatigued, even if they feel full of energy. In addition to the shrinkage of soft tissue, the underlying facial bones gradually lose their structure over time which further reduces structural support for the skin and facial muscles. This accentuates the sunken appearance of the eyes.

Sunken eyes have several causes, including genetics, excessive sunlight exposure, smoking, dehydration, poor skincare routine and a lack of sleep. Sunken eyes are also known as ‘under eye, hollows’, or ‘teardrop hollows’, and there are a variety of effective treatments to fix sunken eyes.

Addressing Sunken Eyes with Less Invasive Treatments

Facial Fillers

If you’re bothered by the appearance of sunken eyes, one of the most widely adopted cosmetic solutions involves the use of injectable facial fillers. This non-invasive procedure is often the preferred choice for those hesitant about undergoing more invasive surgery.

Facial fillers often comprise hyaluronic acid, a naturally occurring substance in our bodies. This type of filler is particularly suitable for treating sunken eyes due to its subtle appearance and the fact that it remains invisible under the skin, even in the delicate areas surrounding the eyes.

The most suitable facial filler to achieve your specific aesthetic aspirations will be discussed and decided during your consultation. Any experienced practitioner will understand that every patient is unique, and there isn’t a “one-size-fits-all” solution when it comes to treating sunken eyes.

Generally, recovery from a filler injection is quick and accompanied by minimal discomfort. Some patients may experience bruising in the delicate skin around the eyes. For most individuals, this bruising subsides within a week following the procedure. To aid the healing process and enhance comfort, you can apply cold packs and take adequate rest. Around two weeks post-injection, the filler will have “settled,” manifesting its final appearance.

For those seeking more dramatic results, additional filler may be required in subsequent treatment sessions. However, it’s always advisable to start with smaller quantities of filler in your initial session and incrementally increase the amount if desired. Remember, it can be safely dissolved if you find the filler excessive or your results less discreet than anticipated.

RELATED: Filler Dissolving Treatment London

For the majority of individuals opting for facial fillers to address sunken eyes, the results typically endure between six and twelve months. Beyond this period, you’ll need to undergo further filler injections to maintain your rejuvenated appearance. However, the duration of your results is subject to various personal factors, such as:

• The quantity of filler you choose to have injected
• Your age and the extent of eye hollowness
• The health of your skin.

Facial Fat Grafting (Autologous Fat Injections)

For a more sustainable and natural solution to sunken eyes, facial fat grafting has been the choice of many of our patients. This method, while more invasive than synthetic filler injections, yields longer-lasting, even permanent results.

The process of facial fat grafting involves harvesting unwanted fat from a targeted area of the body, often the stomach. This ‘surplus’ fat is then carefully processed and injected into the area around the eyes, thereby improving the appearance of sunken eyes.

The final results of facial fat grafting to correct sunken eyes can take approximately 3-4 months to fully develop. This duration accounts for the time required for the transplanted fat to reconnect to your body’s blood supply. While not all of the transplanted fat cells will survive the grafting procedure, our surgeons ensure the transfer of a sufficient amount to ensure long-lasting results. Nonetheless, results vary among individuals, and further treatments may occasionally be required.

Opting for facial fat grafting to rectify sunken eyes offers numerous benefits:

• • Prolonged, often permanent, results
  • Subtle and natural-looking and feeling results
  • Quick recovery and minimal downtime from work
  • Additional advantage of fat reduction from problem areas, like the thighs or stomach
  • Diminished under-eye dark circles due to the protective layer of fat.

Best treatments for sunken eyes

There are several at-home treatments which people can use to help reduce the appearance of sunken eyes. Simple solutions include placing cold packs against the ice or cucumbers. How effective these treatments depend on the underlying causes of sunken eyes. People can help to reduce the severity of sunken eyes by avoiding smoking, drinking plenty of water to keep well hydrated, and avoiding sleep deprivation. In addition to improving sunken eyes, these lifestyle measures can help to boost overall health and well-being.

There is a variety of in-clinic treatments that can be used to treat sunken eyes due to the natural ageing process. These include nonsurgical cosmetic procedures, such as wrinkle-relaxing injections and dermal fillers. Eyelid surgery, also known as blepharoplasty, is a surgical option to permanently eliminate sunken eyes. Treatment for sunken eyes is carried out by qualified and experienced plastic surgeons at Centre for Surgery.

RELATED: What are the benefits of eyelid surgery?

Can sunken eyes be caused by allergies?

Hayfever is a common allergy affecting many people. The periocular skin could be potentially affected by people who have certain allergies. The continual rubbing of the eyes caused by high pollen levels can increase the visibility of the small blood vessels beneath the skin and, over time, can cause thickening and darkening of the skin surrounding the eyes. Allergies to eyedrops or topical treatments may cause increased prominence of the blood vessels under the eyelid skin, which may cause sunken eyes to appear earlier in life.

What are the best foods to eat to help reduce sunken eyes?

We would recommend increasing your intake of leafy, dark, green vegetables, which are high in antioxidants. Examples include spinach, broccoli, sprouts, and kale. Caffeinated beverages should also be reduced, including tea and coffee.

Can dermal fillers plump up the area under my eyes?

Dermal fillers containing hyaluronic acid are a highly effective treatment for plumping the under-eye area. Hyaluronic acid occurs naturally in the body and, once injected, helps the skin to lock in moisture. The under-eye area appears smoother, fuller, and more refreshed.

How can I prevent sunken eyes?

Dark circles under the eyes are often due to several causative factors acting in combination. This includes sleep deprivation, dehydration caused by inadequate water intake, and high salt or alcohol intake. Once dark circles develop, it can be challenging to reverse their onset.

The skin surrounding the eyes is highly delicate and is susceptible to the effects of UV radiation found in sunlight. Excessive exposure to the Sun without wearing sunscreen can cause permanent sun damage. Common features of sun damage include coarse skin texture, loose skin, age spots, and dark circles or shadows under the eyes. These features can be minimised by the application of sunscreen on the face. When out in the sun, cultivating good habits around sunscreen usage will help to delay the onset of signs of facial ageing, particularly in the periocular region. Harmful UV rays can be blocked by wearing sunglasses, and this will also help to minimise squinting. Excessive squinting may increase the risk of developing eyelid wrinkles. Protecting your eyes from the harmful effects of sunlight may also help to reduce the risk of cataract formation.

Several factors contribute to the development of sunken eyes, including genetics, poor diet, lack of exercise, smoking, excessive sunlight, exposure, and environmental pollution. The extent of dark circles beneath the eyes and deep-set tear troughs is determined by the duration of exposure over time to these common risk factors. Keeping well hydrated by drinking plenty of water will help to minimise sunken eyes. Good hydration will also benefit other aspects of our bodies, such as maintaining healthy functioning.

What is the best filler for sunken eyes?

At Centre for Surgery, we recommend hyaluronic acid-based dermal fillers to treat sunken eyes. Restylane and Juvederm are considered the best fillers to plump up the area beneath the eyes. Hyaluronic acid fillers produce natural, looking results compared with many other types of fillers available. Tear trough filler is suitable for the treatment of sunken eyes.

Juvederm and Restylane contain hyaluronic acid, which occurs naturally in the human body. The effects of treatment are considered temporary, which means the results of treatment will need to be maintained over time with regular top-up injections. These treatments are popular with patients in the UK. The effects of treatment can be reversed if the results are not as hoped. These treatments are highly accessible and are often chosen by people who may not be keen on the idea of invasive surgery. Juvederm and Restylane can also be used to rejuvenate other areas of the face, including the lips, nose-to-mouth lines and the cheeks.

RELATED: Why Under Eye Filler is Not For Everyone

Correcting the Appearance of Sunken Eyes Through Surgical Methods

Does your face seem tired and weary, even after a good night’s sleep? It could be due to what is known as sunken eyes, a condition that can often occur as a result of ageing. When your eyes take on a hollow appearance, it might be due to factors such as loose skin, excessive bags beneath the eyes, or a sagging lower eyelid. But there’s good news! This condition can often be corrected with a particular type of eye surgery known as lower blepharoplasty, also referred to as lower eyelid surgery.

Now, you might be asking yourself what lower blepharoplasty is. Well, it’s a procedure that specifically targets the issues leading to sunken eyes. It works to correct the look of drooping eyelids, a condition often brought about by the natural ageing process which leads to changes in the elasticity of the skin and fat tissues around the eyes.

The region beneath your eyes can tell a lot about you. If it’s characterised by under-eye bags and dark circles, people might perceive you as being fatigued or not as alert, even if you’ve had a full eight hours of sleep! That’s why it’s crucial to pay attention to this area, especially if you’re conscious about maintaining a youthful appearance.

Choosing the right procedure to rectify sunken eyes can be challenging, especially if you’re unsure about which route to take. That’s why it’s highly recommended to have a thorough discussion with a qualified and experienced surgeon. At the Centre for Surgery, a renowned Plastic Surgery clinic, our surgeons are more than willing to offer their expert advice. They will provide you with the necessary information and guide you through the decision-making process to ensure that you make an informed choice.

So, what can lower blepharoplasty surgery do for you? Here’s a list of benefits you can expect:

1. It helps to tighten the loose skin in the under-eye area, giving a more youthful appearance.
2. The contour of the under-eye area is improved, significantly reducing the under-eye bags that can make you look constantly tired.
3. Wrinkles and fine lines around the eyes, which are usually signs of ageing, can be significantly reduced.
4. Any excess fat or noticeable bulging in the under-eye area can be effectively removed.
5. Sagging or downturned lower eyelids, which contribute to the appearance of sunken eyes, can be corrected.

By considering lower blepharoplasty, you’re choosing to rejuvenate your appearance and rid yourself of the ‘forever tired’ look. After all, your face should reflect how you truly feel on the inside!

Common Questions About Solutions for Sunken Eyes

Is it possible to combine Lower Blepharoplasty with other procedures?

Absolutely! There are numerous other plastic surgery procedures that can go hand-in-hand with lower blepharoplasty. These can be carried out simultaneously on the day of the surgery, or you can choose to undergo them later as part of your customised treatment plan. Here are a few procedures that can be paired with lower blepharoplasty:

• • Fat grafting, which is great for enhancing the contour of your eye or adding volume to other parts of the face for a more harmonious outcome.
  • A brow lift, which helps modify the look of the upper part of your face.
  • Facial fillers or dermal fillers, which are injectable substances used to add volume to the face.
  • A surgical facelift, designed to diminish sagging skin.

If you’re uncertain about whether or not to combine another procedure with your lower blepharoplasty surgery, or if you’re unsure about which additional plastic surgery procedure might be suitable for you, our expert surgeons at the Centre for Surgery are ready to provide you with the guidance you need. They’ll make recommendations based on scientific evidence and what is best for your particular circumstances.

What is the recovery process like after Lower Blepharoplasty?

After undergoing a lower blepharoplasty, it’s completely normal to experience some temporary symptoms. In most cases, these effects will disappear within 2 to 3 days following the surgery. To ensure your body has the best chance to recover and heal, we strongly advise you to take it easy and rest during the days after your lower blepharoplasty.

RELATED: Lower Blepharoplasty Recovery Day by Day

Before you undergo the surgery, your surgeon will provide you with all the necessary advice to make your recovery period as comfortable as possible. They’ll share tips on how you can encourage optimal healing post-procedure.

For most individuals, the outcome of lower blepharoplasty will be a significant reduction in the appearance of sunken or sagging eyes. Therefore, you can expect to see a notable difference and a more refreshed look following your recovery period.

Why Choose Centre for Surgery?

When it comes to enhancing your appearance or correcting cosmetic issues, choosing the right place for treatment is a crucial decision. At Centre for Surgery, our primary focus is on delivering superior patient care and producing exceptional outcomes.

1. Specialist Expertise: Our team comprises surgeons with extensive experience and specialist expertise in a wide range of plastic and cosmetic surgeries. They have undergone extensive training and have proven track records in delivering successful results.
2. Tailored Treatment Plans: We understand that each patient is unique. That’s why we take the time to get to know you and your goals before creating a bespoke treatment plan that meets your needs and expectations.
3. Advanced Techniques and Technologies: We utilise the most advanced surgical and non-surgical techniques and state-of-the-art technologies. This ensures you receive the most effective, safe, and minimally invasive treatments possible.
4. Exceptional Aftercare: Our commitment to patient care extends well beyond the procedure itself. We offer comprehensive aftercare and support throughout your recovery period to ensure you achieve the best possible results.
5. Reputable Clinic: We are proud of our reputation for providing high-quality care and achieving outstanding results. Our London-based clinic adheres to strict standards of safety and hygiene and is fully regulated by the Care Quality Commission.
6. Patient-Centric Approach: Our entire process, from consultation to aftercare, is designed with your comfort, safety, and satisfaction in mind. Our friendly and professional staff are dedicated to ensuring your experience with us is positive and rewarding.

Choosing Centre for Surgery means choosing a team that is wholly committed to your wellbeing, satisfaction, and the achievement of your aesthetic goals. We take great pride in helping our patients feel confident and happy with their appearance.

If you would like to schedule a consultation for the treatment of sunken eyes, call us today on 020799348490. Complete the contact form below. Centre for Surgery is conveniently located in the heart of central London in Marylebone. We regularly perform hundreds of dermal filler treatments each year at our state-of-the-art clinic.

RELATED: Eyelid Surgery FAQs – Q&A about Blepharoplasty