Tear Trough Correction,  Sunken Eye Treatment

As we age, our skin loses elasticity and moisture. Additionally, collagen begins to break down and volume loss can make the face and eyes look hollow or sunken. Sunken eyes, also known as “tear trough hollows” or “under-eye hollows,” is treatable.

Michael Neimkin, M.D., at the Ophthalmic Facial and Cosmetic Surgery Center in Atlanta, GA, specializes in cosmetic procedures to improve the appearance of sunken eyes and tear trough hollows. Dr. Neimkin has also performed over 6,000 complex reconstructive and revisional surgical procedures focusing on the eyelidseyebrows, forehead, eye orbits, tear ducts and midface. His entire staff takes great pride in treating each patient as if they were a family member.

Dr. Neimkin’s expertise in facial rejuvenation allows him to create beautiful and natural looking results for his patients by enhancing lost definition and revolumizing the face with dermal fillers such as Juvederm or Restylane. He also performs blepharoplasty (lower eyelid surgery) to provide long term results.

View Before and After Photographs.

Symptoms of Sunken Eyes

  • Hollowing under the eyes
  • Dark shadows over the lower eyelid
  • Dark circles underneath the eyes
  • Thin-looking skin under the eyes
  • Tired or fatigued look in the face

Dermal Fillers

The under eye area is incredibly delicate. It is very important to seek out an expert, like Dr. Neimkin, to perform  injections under the eyes to ensure you receive the best results possible. Juvederm and Restylane® are injectable fillers consisting of hyaluronic acid (HA), which is made out of a molecule naturally found in our skin. Dr. Neimkin will decide which filler is best to inject into the tissue below your eyes to fill in sunken areas. Dermal fillers are usually painless and take just a few minutes to complete. The results will generally last up to 12 months.


Blepharoplasty (lower eyelid surgery), can reduce the appearance of sunken eyes. This technique is more invasive than dermal fillers and involves a longer recovery time. However, they can offer a more long-term solution to sunken eyes. Lower blepharoplasty surgery is usually done in an outpatient setting. Dr. Neimkin injects numbing medication and administers intravenous medication to help you relax. He then makes an incision on the inside of the eyelid to minimize scarring. Puffy bags are accessed from this incision and are removed and/or repositioned to improve the contour of the lower lid. Occasionally, a very small incision just below the eyelashes is made to remove skin.

Other Options

If Dr. Neimkin determines that other procedures are needed he may suggest fat transfer injections, tear trough implants, lower blepharoplasty with fat repositioning, or a combination of treatments for optimal results. It is also important to mention that hollowness in upper eyelids can further exacerbate (worsen) the dark circles around eyes and sunken eye appearance. Therefore, treating the upper eyelid area is also beneficial and complementary to under eye treatment. Treatment for upper eye hollowness includes dermal fillers or fat injections.

Each patient is unique; results may vary.

To learn more about your treatment options for sunken eyes and tear trough correction, complete our contact form today to schedule a consultation with Dr. Neimkin at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA. Dr. Neimkin and the staff take pride in only offering patients the highest level of care in a family-like environment. Our office serves patients in the metro Atlanta, GA area including the surrounding communities of Sandy Springs, Buckhead, Dunwoody and Roswell. We look forward to seeing you soon.