How to Fix Under-Eye Hollowing Without Surgery: Effective, Non-Invasive Solutions

Under-eye hollowing—often called tear trough hollowing—is one of the most common reasons people look tired even when they feel refreshed. The good news? You don’t need surgery to improve hollow under-eyes. Today, there are several non-invasive treatments and simple at-home approaches that can significantly restore volume, brighten the under-eye area, and improve skin quality.

Whether your hollowing is due to genetics, aging, weight loss, or lifestyle factors, this guide covers the best non-surgical fixes for under-eye hollowing and how to choose the right option for your skin.

What Causes Under-Eye Hollowing?

Before choosing a treatment, it helps to understand why hollowing happens. Common causes include:

• Loss of fat or collagen as you age

• Genetics (some people naturally have deeper tear troughs)

• Rapid weight loss

• Dehydration or poor sleep

• Thin skin around the eyes

• Volume loss in the cheeks, making the under-eyes appear deeper

Knowing the cause can help you determine which non-surgical solution will work best.

Best Non-Surgical Ways to Fix Under-Eye Hollowing

1. Hyaluronic Acid Fillers (Dermal Fillers)

Best for: Moderate to severe hollows

Dermal fillers—especially hyaluronic acid (HA) fillers—are one of the most effective non-surgical solutions. They add subtle volume beneath the tear trough, reducing the appearance of shadows and hollows.

Benefits:

• Immediate improvement

• Minimally invasive

• Results last 6–18 months

• Can be dissolved if needed

Common fillers used: Restylane, Belotero, Juvederm (in the hands of experienced injectors)

(Tear trough fillers are taking a step back and instead we focus on balancing and repositioning tissues with filler)

2. Under-Eye PRP (Platelet-Rich Plasma) & PRF

(Platelet Rich Fibrin)

Best for: Thin skin, crepiness, early hollowing

PRP uses your own blood’s growth factors to stimulate collagen production. While it doesn’t add volume like filler, it improves skin thickness, texture, and elasticity—making hollows appear less severe.

Benefits:

• Natural, no synthetic materials

• Boosts collagen

• Great for dark circles due to thin skin

• Minimal downtime

Often PRP is combined with microneedling for even better results.

3. Skin Boosters (Injectable Hydration)

Best for: Mild hollowing + dehydrated skin

Skin boosters like Profhilo (not in the U.S.), Skinvive, or Redensity I hydrate the skin deeply and improve elasticity. While they don’t create the same volume as fillers, they smooth the under-eye area and create a more refreshed appearance.

Benefits:

• Improves crepiness

• Boosts hydration

• Natural-looking results

4. Topical Skincare Ingredients

Best for: Mild hollows or for maintenance between treatments

While skincare can’t add volume beneath the eye, it can improve brightness, smoothness, and skin quality.

Look for ingredients such as:

• Hyaluronic Acid – plumps and hydrates

• Retinol/Retinoids – boosts collagen (use gentle formulas made for under-eyes)

• Peptides – firm and strengthen skin

• Vitamin C – brightens and supports collagen

Tip: Always introduce retinol slowly to avoid irritation.

5. Lifestyle Changes to Reduce Under-Eye Hollowing

These won’t reverse structural hollowing but can noticeably improve the appearance:

• Stay hydrated, especially in dry climates

• Improve sleep habits

• Avoid rapid weight loss

• Reduce alcohol and sodium intake, which can worsen shadowing

• Use an eye cream daily to support skin hydration

Small changes can make hollows look less pronounced.

6. Makeup Techniques to Conceal Under-Eye Hollows

A temporary but highly effective option:

• Use a hydrating concealer to brighten shadows

• Apply a color corrector (peach or orange) if you have dark pigmentation

• Avoid heavy powder under the eyes

• Position concealer only in the hollow to lift the area visually

Which Non-Surgical Treatment Is Right for You?

Concern	Best Non-Surgical Fix
Deep hollowing	Hyaluronic acid filler
Thin, crepey skin	PRP or skin boosters
Mild hollowing	Skin boosters + HA serums
Loose skin	RF microneedling
Dark circles from thin skin	PRP + Vitamin C
Want the most natural improvement	PRP or skin boosters

Final Thoughts

Under-eye hollowing can make you look tired even when you're rested—but you don’t need surgery to fix it. With options like dermal fillers, PRP, skin boosters, and targeted skincare, you can restore volume, brighten your under-eyes, and achieve a more youthful appearance without downtime.

If you're unsure which treatment is right for you, consult with us at Renatus Aesthetics who can create a personalized plan.