Many very attractive people (celebrities included) with hollow upper eyelids could look much younger and attractive with natural-looking fullness in their upper eyelids. The correction of hollow eyelids, when performed expertly by a plastic surgeon with considerable experience and expertise in structural fat grafting can provide a beautiful and natural looking result.
My approach to upper eyelid surgery is to be conservative with skin excision, and to reserve excision of fat for patients with significant fat excess. In my opinion, aggressive removal of upper eyelid skin and fat is a 'skeletonizing' procedure which risks making eyes appear more deep-set and aged, rather than younger. In fact, in many patients I perform structural fat grafting (using the patient's own fat, from the abdomen or hips) to help restore soft tissue volume around the eyes.
The next time you flip through Vogue or Allure (guys, just grab one at the checkout stand) take a close look at the eyes of the models. In most of them, women in their teens and twenties, you will see only a sliver of the upper eyelid, if it is visible at all. In many, the upper lid is completely obscured by soft tissue fullness between the brow and eyelashes, which I sometimes refer to as the 'brow roll'. Perusing the fashion magazines provides quick confirmation that the youthful upper lid is not a skeletonized upper lid.
Following fat grafting to the upper eyelids most patients report that people tell them “you look great” but they cannot detect what has changed.
