Under eye circles can also be caused
by volume loss. This means a thinning of the skin and loss of fat in the area
that leaves the inferior orbital rim (lower portion of the eye socket bone) in
a shadow. Your skin may be contracted but sometimes the pigment is just not the
issue one needs to focus on. Here, a skilled surgeon like Dr.Fisher recommends
augmentation of the tear trough and infra-orbital rim area. This is done
using fillers like hyaluronic acid and can be done without any incisions during
your first visit in our office.