How to Fix Under Eye Hollows Without Filler – Other Alternatives

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Under eye hollows can be an aesthetic concern, signaling fatigue or aging, even when your energy is at its peak. Fortunately, these unwanted contours can be addressed without resorting to fillers.

A range of non-invasive approaches exists, from topical remedies and lifestyle changes to deliberate makeup application — all of which can reduce the appearance of hollows and rejuvenate the skin beneath the eyes. Embrace ingredients like hyaluronic acid and retinol in your skincare routine and consider the power of facial massage, while not underestimating the transformative impacts of adequate sleep and hydration on your overall skin health.

Non-Invasive Treatments for Under Eye Hollows

Discovering effective treatment options for under eye hollows provides a path to revitalized skin without invasive measures.

Topical Eye Creams and Serums

Seek out skincare formulations designed with the delicate under eye area in mind, capable of delivering powerful restorative action.

Ingredients to Look For (Hyaluronic Acid, Retinol, Vitamin C): Key ingredients in eye care products tackle under eye hollows with precision. Hyaluronic acid is celebrated for its moisture-binding abilities, essential for a supple skin appearance. As a humectant, it can draw hydration into the skin, temporarily plumping the under-eye area and lessening the hollowness. Retinol, a derivative of vitamin A, supports skin cell turnover, promoting a smoother texture and firmness over time.

Proper Application Techniques: Applying under eye creams and serums correctly can greatly enhance their effectiveness. Use the ring finger to apply these products with gentle, tapping motions. This finger naturally exerts less pressure, reducing the risk of pulling or stretching the fragile skin. Additionally, commence application from the inner corner of the eye area, moving outwards towards the temple. This method supports lymphatic drainage and circulation. Moreover, ensure the skin is clean and slightly damp before application; this state can help with the absorption of the active ingredients, maximizing the potential for hydration and rejuvenation. Patience is prime – wait a few minutes before layering different products or cosmetics to allow full absorption and prevent pilling.

Stimulating Blood Flow and Collagen Production: A key to reviving under eye hollows lies in stimulating blood flow and collagen production. Methods like facial massage and using tools such as jade rollers or Gua Sha can invigorate circulation beneath the skin. Improved blood flow furnishes the skin with more oxygen and nutrients, both vital for regenerating cells and synthesizing collagen. Additionally, consistent gentle pressure and movement can prompt the natural production of collagen, a crucial protein for skin elasticity and volume. By incorporating these massage practices into your skincare regime, not only is the under eye area plumped, but also the overall health and robustness of the skin are enhanced, reducing the prominence of hollows over time.

Techniques for Under Eye Area: When performing techniques specifically for the under eye area, a light touch and precise movements are very important. For Gua Sha, use a tool designed for facial massage, often made from jade or rose quartz, and ensure it is smooth and clean. Start by applying a facial oil to provide slip, then gently glide the tool under the eye, starting from the inner corner outwards. Use a series of short, swift strokes upwards towards the hairline to encourage lymphatic drainage and reduce any puffiness. Always move in a singular direction – back and forth movements can be too abrasive for the tender skin. This technique not only helps reduce the appearance of hollows but also provides a relaxing ritual contributing to overall skin health.

Facial Massage and Gua Sha

How Microneedling Works: Microneedling, also known as collagen induction therapy, involves the use of fine needles to create micro-injuries in the skin. This minimally invasive treatment encourages the body’s natural healing process, stimulating the production of collagen and elastin. As the skin repairs the micro-wounds, it becomes firmer and more supple, filling out under eye hollows gradually. Microneedling can thus be a potent ally in the battle against the signs of aging. Furthermore, these micro-channels can enhance the skin’s absorption of topical treatments, further assisting in skin rejuvenation and the diminution of hollows.

Professional vs. At-Home Treatments: When weighing up professional versus at-home microneedling treatments, consider efficacy and safety. Professional treatments, performed by certified dermatologists or aestheticians, use longer needles and are therefore more penetrating, yielding more dramatic results. These sessions also follow strict hygiene protocols, reducing the risk of infection. At-home devices, on the other hand, typically employ shorter needles, making them safer for personal use but with less significant outcomes. If you opt for home treatment, follow the instructions meticulously, keep the device sterilized, and recognize the value of gradual improvements, with safety as the foremost priority.

Platelet-Rich Plasma (PRP) Therapy

Using Your Own Blood to Stimulate Collagen: Platelet-Rich Plasma (PRP) therapy is a cutting-edge treatment harnessing the power of your own blood to revitalize under eye skin. Your blood contains platelets, rich in growth factors, that play a crucial role in healing and tissue regeneration. When injected into the under eye area, these growth factors encourage the production of collagen and elastin—key components in maintaining a plump, youthful appearance. The treatment is particularly appealing as it involves the body’s natural processes, potentially reducing the risk of allergic reactions and side effects found with synthetic fillers. With PRP, individuals can tap into their innate healing capacities, spurring the growth of collagen that helps to gradually reduce the appearance of under eye hollows.

Procedure Overview and Results: A typical PRP procedure involves drawing a small amount of blood from the patient, which is then spun in a centrifuge to isolate the platelets. The resultant platelet-rich serum is meticulously injected into the target areas. The procedure requires no general anesthesia and is relatively quick, lasting about an hour. Results are not instant and can emerge over several weeks as collagen synthesis progresses. Patients often require multiple sessions for optimal outcomes, but benefits can last up to a year or longer. The gradual nature of collagen rebuilding ensures a natural progression of improvements, softening under eye hollows and enhancing skin texture.

Lifestyle Changes to Improve Under Eye Hollows

Adopting a holistic lifestyle can significantly diminish the appearance of under-eye hollows. Fundamental improvements in sleep, hydration, nutrition, and overall self-care can contribute to the health and appearance of the delicate skin under the eyes.

Getting Adequate Sleep

Importance of Sleep for Skin Health: Quality sleep is very important for maintaining vibrant skin health. During deep sleep, the body enters a repair mode where it rejuvenates and regenerates cells, including skin cells. This nightly renewal process is critical in maintaining the skin’s elasticity and plumpness. A lack of adequate rest can lead to increased stress hormones in the body, which may break down collagen, the supporting structure of the skin. This degradation can make the hollowness under the eyes worse, making it appear more pronounced. Thus, consistent and restful sleep plays a central role in preventing and diminishing under-eye hollows.

Recommended Hours per Night: The National Sleep Foundation suggests 7-9 hours of sleep each night for adults. Achieving this ideal duration can be very important in supporting skin health. To improve sleep quality, establish a calming bedtime routine, make your sleep environment comfortable, limit screen time before bed, and try to go to bed and wake up at the same time each day. Quality sleep can decrease under-eye puffiness, improve skin texture, and in the long run, can help the under-eye area appear fuller and less hollowed.

Staying Hydrated

Effects of Dehydration on Skin: Dehydration can take a significant toll on your skin’s health and appearance. When the body lacks sufficient water, the skin can become dry, flaky, and more prone to wrinkling. The under-eye area, with its delicate and thin skin, is particularly vulnerable to the effects of dehydration. Hollows under the eyes can appear more prominent when the body is dehydrated because the skin lacks the water volume needed to stay plump and firm.

Recommended Daily Water Intake: Experts generally recommend drinking at least 8 cups of water per day, although the exact amount can vary based on age, gender, climate, and activity level. Hydrating adequately can help maintain the balance of fluids in the body, supporting the skin’s elasticity and resilience. Moreover, water helps in flushing out toxins, which can contribute positively to skin health. To aid with hydration, consider incorporating water-rich foods into your diet, such as fruits and vegetables, and limit dehydrating beverages like caffeine and alcohol.

Maintaining a Balanced Diet

Foods Rich in Collagen-Boosting Nutrients: A diet rich in vitamins and minerals plays a crucial role in skin health and can aid in the reduction of under-eye hollows. Foods high in vitamin C, such as citrus fruits, strawberries, and bell peppers, are vital for collagen synthesis. Collagen provides structure and elasticity, which helps minimize the appearance of hollows. Other collagen-boosting foods include fish, rich in omega-3 fatty acids, and bone broth, known for its high collagen content. Incorporating a variety of these foods can bolster the skin’s health from within, potentially reducing the need for invasive cosmetic treatments.

Avoiding Excessive Salt and Alcohol Consumption: Excessive salt in the diet can cause water retention, making puffiness and under-eye bags worse, which may highlight hollows by contrast. Meanwhile, alcohol can lead to dehydration, affecting the skin’s plumpness and further accentuating under-eye depressions. Moderating salt and alcohol intake is not only beneficial for overall health but also aids in maintaining the integrity and appearance of the skin. Replacing high-sodium snacks with healthier options and limiting alcoholic beverages to moderate amounts can make a noticeable difference in preventing and improving under-eye hollows.

Managing Stress Levels

Impact of Stress on Skin Health: Chronic stress can have profound negative effects on the skin. It triggers the release of cortisol, a hormone that can break down collagen and elastin, leading to a loss of skin firmness and the development of hollows beneath the eyes. Furthermore, stress often affects sleep quality, which, as previously noted, is critical for skin regeneration. To protect and improve the skin’s appearance, especially around the sensitive under-eye area, managing stress should be a key component of any skincare and wellness routine.

Stress-Reducing Techniques (Meditation, Exercise): Implementing stress-reduction techniques such as meditation and regular exercise can significantly improve skin health. Meditation encourages mindfulness and relaxation, potentially reducing cortisol levels. Meanwhile, exercise increases blood flow to the skin, delivering oxygen and nutrients while helping to flush out toxins. Both activities contribute to reducing stress-related skin issues like under-eye hollows. In the long run, these practices may promote a more youthful and radiant appearance, reflecting the inner calm and wellbeing achieved through a balanced lifestyle.

Sun Protection and Preventing Further Damage

Importance of Sunscreen: Protecting the under-eye area from UV radiation is crucial in preventing further damage and maintaining skin health. Consistent application of sunscreen with broad-spectrum SPF 30 or higher wards off photoaging, which can exacerbate the appearance of under-eye hollows. Sunscreen also plays a defensive role in guarding against the breakdown of collagen and elastin, instrumental to skin’s structure and volume. In addition to reducing the risk of skin cancer, sunscreen aids in preventing the cumulative effects of sun exposure that can accentuate under-eye concerns both immediately and over time.

Wearing Sunglasses and Hats: Beyond sunscreen, physical protection like sunglasses and wide-brimmed hats can provide an additional layer of defense for vulnerable under-eye skin. UV-blocking sunglasses prevent squinting, which over time can contribute to dynamic wrinkles and deepening hollows. Simultaneously, hats shield the entire face, offering both cosmetic and health benefits. This approach is not just practical but can also be a style statement. Sunglass lenses must be large enough to cover the eye area fully and ideally labeled for 100% UV protection. Integrating these accessories into your daily routine can significantly contribute to the preservation of delicate under-eye tissue.

Frequently Asked Questions

Can under eye hollows be permanently fixed without surgery?

While there are several non-surgical methods to reduce the appearance of under eye hollows, permanent results typically require procedures like fillers or surgical interventions.

How long does it take to see results from topical treatments?

Results from topical treatments can take several weeks to months of consistent use, as they work gradually to improve skin hydration and elasticity.

Can makeup completely conceal under eye hollows?

Makeup can significantly reduce the appearance of under eye hollows, but it may not completely conceal them, especially if they are deep.

Is it possible to prevent under eye hollows?

While genetic factors play a role in under eye hollows, maintaining a healthy lifestyle with adequate sleep, hydration, and sun protection can help in preventing them.

How often should I get professional treatments for under eye hollows?

The frequency of professional treatments varies based on the method used and individual results, typically ranging from every few months to annually.

Can weight loss contribute to under eye hollows?

Significant weight loss can lead to a reduction in facial fat, potentially causing or making under eye hollows worse.

Is it safe to use retinol around the eye area?

Retinol can be safely used around the eye area, but it must be applied cautiously due to the skin's sensitivity. Always follow product guidelines and start with lower concentrations.


Dealing with under eye hollows can be a complex approach, blending effective skincare, professional treatments, and lifestyle adjustments. While the journey to improvement may vary, the combination of preventive measures, cosmetic strategies, and potentially medical procedures offers a comprehensive path toward brighter and more youthful eyes. Taking a holistic view can not only improve the appearance of under eye hollows but also contribute to overall skin health and wellness.

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Liew, S., Doreian, S., Kunathathorn, W., Lam, S., Jorge, A., Lan, L. B., Selkon, E., Arendse, S., Silleri, J., & Telfer, T. (2024). Lower Eyelid Dark Circles (Tear Trough and Lid-Cheek Junction): A Stepwise Assessment Framework.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.