While some patients truly have “bags” under their eyes which require surgical removal with a lower eyelid lift or blepharoplasty, others simply have a hollow look below their eyes that makes them look tired or older. This hollow area is called the nasojugal groove, and it forms in people with a certain bone structure predisposition as they age. The aging process results in loss of fat and elasticity, and the skin “sinks” over the bone, creating a shadow or “dark circle.” Simply removing fat above the hollow area can sometimes accentuate it- making the eye seem more hollow and old. A better option is to restore volume to this area!
and has relatively little swelling.