Lower eyelid surgery can treat hollowness in the lower eyelids through various methods. The doctor can administer in-office injections of fillers such as Restylane or Juvederm to restore volume to the lower eyelids. Lower blepharoplasty with fat removal and repositioning is another way to treat this aesthetic concern. Lower eyelid surgery results last longer than filler injections to the lower lids, and the results are often more aesthetically pleasing. While fat injections to the lower eyelids can be performed, this method may lead to an uneven texture and irregularities of the area as the under eye skin is very thin.