How to treat a sunken appearance post upper eyelid surgery

Aggressive upper eyelid fat removal can have the opposite effect-- leave a hollow appearance. This will also result in a relative excess of skin. Removing this skin will only make your eyes appear more hollowed out. In addition, a brow lift will further accentuate this appearance which is why I usually don't recommend brow lift surgery for someone with very deep set eyes. 

The solution is to replace the lost volume in the upper eyelid as well as the brows and temples. Various fillers can be used such as fat, Restylane or Sculptra. If there is still excess skin, I would recommend resurfacing the skin to plump up the collagen with Fraxel laser.

Hi!

Of course, it is hard to tell without examining you, but if your upper lids are hollow, a brow lift may not be the best approach.  We have gotten good at restoring volume with micro fat injections.

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 Without pictures, it is difficult to give you a complete answer.  However, if your eyelids are "deflated," which I am assuming you have loose skin, then you have three options.  1) replace the fat with fat grafting; 2) remove the extra skin with a blepharoplasty; or 3) have a brow lift to stretch out the skin.  These are all options that you should discuss with your surgeon.

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