It is a common concern that people are bothered by hollowing under the eyes. They feel this can make them look tired even when they are well-rested. The ageing process also can cause a loss of volume in the area between the lower eyelids and the cheeks. This is known as a tear trough and often people find they may experience dark circles and under-eye bags. Both men and women can be affected by this concern which can be apparent from a younger age due to genetics, otherwise, other causes include ageing, stress, certain medical conditions and lack of sleep. It is important to remember that the tear trough is normal anatomy, but when the hollowing is more pronounced and you are suitable for treatment, we can treat it with dermal filler.