This condition can often be greatly improved with the use of dermal fillers.
The procedure is quite simple - small aliquots of dermal filler gel are deposited in the line where the deepest hollow lies under the eyes - this is mostly in the inner half adjacent to the nose and is called the tear trough. Mostly 1ml of filler is required to treat both eyes.
Our experience is that the treatment is generally well tolerated - sometimes local anaesthetic gel applied to the area 60 minutes prior is used, but mostly treatment pain is low. Some minor bruising is seen commonly, but large bruises are infrequent.
Some people are unsuited for dermal filler treatment under the eyes - in particular, if there is loose and baggy skin in the lower eyelids, improvement can be hard to achieve without surgery. Also, it is not a treatment for fine wrinkles under the eyes (Ultrapulse CO2 laser is the best option for these). Some medical conditions may preclude filler treatment as well.