Shereene IdrissBoard Certified Derm, Founder and Chief Nerd

Derm Fix for Sunken, Hollow Under Eyes

28 Jun 2026 · 1 min

Watch on YouTube

1:11

In this concise educational monologue, dermatologist Shereene Idriss clarifies that under‑eye hollows are a structural issue caused by mid‑face volume loss and bone resorption, not a problem that can be fixed with Botox or topical eye creams. She explains the anatomy of the tear‑trough groove and why muscle‑relaxing agents won’t restore lost volume. Idriss then outlines three non‑surgical options: (1) hyaluronic‑acid fillers placed strategically along the outer face to create a lifting illusion, (2) autologous platelet‑rich fibrin (PRF) derived from the patient’s own blood to strengthen tissue, and (3) stem‑cell‑enriched fat transfer, which she demonstrates with her own recent procedure and a five‑month post‑treatment result. The segment ends with a direct question inviting viewers to choose their preferred approach, emphasizing a natural, rested appearance.

Chapters

Botox and under eye creams are not a treatment for under eye hollows. Under eye hollowing happens when you're losing volume in your midface over time, in addition to the fact that your bone structure is literally hollowing out and your under eyes are sinking in. And that groove that you're seeing, that's your tear trough, and it's structural. Botox, which relaxes the muscle, is never going to address that structure. And no eye cream, no matter how good, is ever going to rebuild volume or bone density. For true under-eye hollowing, these are your options. Hyaluronic acid fillers can help, but I did not inject her under eyes. In fact, I injected along the outer aspects of her face to give the illusion of a lift while making her under eyes look better. Two, PRF. I've used this for my under eyes where we derive it from our own blood to help to strengthen our tissue under our eyes. And three, if you do not want to have surgery that's changing your under eye, stem cell enriched fat transfers are a great option to regenerate your tissue under your eyes while revolumizing your midface where you've lost that volume to give you an overall naturally rested appearance. This is 5 months after, and this was me 3 weeks ago receiving a fat stem cell enriched fat transfer under my eyes. Curious to know which one would you pick?