Sunken Looking Eyes/ˈsʌŋk(ə)n lʊkŋ ʌɪs/ eyes that look sunken into their sockets.
Sunken looking eyes are caused by the loss of fats in the area under the eye and with all things that suffered from loss of volume, it gets deflated. As the skin gets deflated inwards, the tiny blood vessels underneath the skin are much closer to the skin thus giving rise to dark eye circles too.
Causes of Sunken Looking Eyes
Sunken looking eyes are in general caused by our aging process, where we begin losing more collagen, facial and bone volume faster than our body and regenerate and replenish them.
Loss of collagen
As we age, collagen and elastin gets degenerated faster than our body is able to regenerate them and this causes skin laxity, thus causing sunken looking eyes.
There are over 28 different types of collagen. Collagen fibers give strength and structure to many different parts of the body. It is one of the main components of the extracellular matrix, which is the defining feature of connective tissues in humans and other mammals.
Collagen is necessary for conserving the youthfulness of skin and attenuating wrinkles, it is also essential for the elasticity of the connective tissue of the skin, allowing it to expand and contract without damaging any tissue.
Loss of fat & muscle volume
As we age, we begin to lose fat and muscle volume, and ligaments holding the skin and muscle together firmly when we were once young also start to lose its strength. Since our skin is losing elasticity as we age, our faces slowly deflate and sag, and thus causing sunken looking eyes.
Loss of bone structure
The next thing that we begin to lose when we age is bone volume. All our bones go through a bone resorption and formation process that last a few months, and while we are still young, the bone formation rate is the same as the bone resorption or faster, ensuring that we grow taller and stronger each day. Once our body starts to age, the bone formation rate is much slower than bone resorption rate, which means you lose bone volume on a daily basis.
Loss of bone structure is not only a direct cause to sunken looking eyes as the infraorbital rim gets bigger, but it also causes cheeks to look flat, further creating the sunken looking eyes look.
Having very flat cheeks also give rise to sunken eyes. Flat cheeks are caused by loss of bone structure in the maxilla, or general lack and loss of fats and muscle around the cheeks, under your eyes.
Dermal Fillers: Medical Treatment for Sunken Looking Eyes
What are Fillers?
Fillers are made of biodegradable material like Hyaluronic acid. Hyaluronic acid is found naturally in all living things and it breaks down within hours. Hyaluronic acid fillers are cross-linked to ensure that the body doesn’t metabolize the hyaluronic acid within hours, allowing some hyaluronic acid fillers to last from 3 months to a year after injection.
Fillers can be very helpful in those with early signs of aging, and are injected into either the skin tissue layers or on the bone to achieve reduction of static wrinkles appearance and enhancement of facial features due to its volumizing and sculpting abilities.
How can Fillers treat sunken looking eyes?
Since sunken looking eyes are caused by loss of fat volume in the area under the eye, filler injection treatment to have the volume restored or replenished is a good option to treat sunken looking eyes. Depending on how sunken the area is, up to 3ml of filler may be needed.
What to expect from Fillers?
Having fillers injection will not change your look into a different person. It enhances your current facial features while still looking like yourself and no one can tell that you actually had fillers injection done. Even though fillers are clinically proven to last up to a year, its longevity depends a lot on individuals’ metabolic rate, lifestyle, area injected and volume injected.
Side effects of Fillers
Complications from fillers are uncommon. Potential risks vary depending on the specific filler used and the relative permanence of the filler substance and include:
1. Acne-like skin eruptions
3. Bruising, bleeding from the injection site, swelling
4. Damage to the skin that results in a wound and possible scarring
5. Infection at the injection site
7. Palpability of the filler under the surface of the skin
8. Skin rash with itching
9. Skin redness
10. Under- or over-correction of wrinkles