Tear trough fillers such as Restylane and Juvederm can replace volume loss in the tear trough hollows. These cosmetic injections re-volumize the under-eye area for a more youthful, refreshed look. The thin skin around the eyes loses fat as part of the natural aging process. This can cause puffy bags and indented shadows that look like dark circles. Under-eye fillers smooth out this fragile area, helping to create a more rested look.  However, fillers do not correct eye puffiness that results from fat herniation, edema from allergies, or severe skin laxity.  A surgical blepharoplasty is the preferred procedure of choice in these cases. Your doctor will access your tear trough and recommend the best treatment suited for you.