35 year old treated for Upper eyelid hollowing

35 year old woman presented with upper eyelid hollowing. She showed a younger photo of herself around age 30, which showed... more fullness below her eyebrows, but above her eyelid crease. Upper eyelid fillers (Restylane) were used to replenish the volume without performing a browlift or upper blepharoplasty skin removal, since this would further hollow her eyes. The immediate result does show improvement in the fullness, but the upper eyelid filler can be bumpy and irregular for the first few days to a week until it smooths out nicely. The before and after photo on the upper right is immediately after the procedure.  Minimal swelling and minimal bruising is not uncommon.  The photo at the bottom left is a more than 1 year photo, and the upper eyelid crease is nicely shaped and still improved despite that the upper eyelid filler has been a full year and no additional fillers were needed at 1 year.   The last photo on the bottom right is after a full 3 years from the initial injection.  She did have a very small amount of filler on the 3 year follow up to maintain her appearance at the 3 year mark, but not to add any noticeable volume.  The goal of her treatment is to maintain the current results with follow up visits every 1 to 2 years. more »