Fat injections will definitely help.

George J. Beraka, MD answers: Treatment for sunken and hollow eyes?

I have a sunken eyes with a shortage of upper eyelid fat. It's genetic and that's what gives me a tired and elderly look. What is the best treatment for this? A fat grafting surgery? Or a fat injection? Pease help. I'm a 28 year old (female) and my problem isn't the extra upper eyelid fat as most people had but the opposite, a shortage of an upper eyelid fat.


George J. Beraka, MD
9 months ago

However they are tricky and should only be done by someone with a lot of experience.

Also the level of your upper lid lashes is slightly low (this is called minimal ptosis).  People with ptosis have a very deep fold.  This can possibly be corrected surgically.  You need to see an oculoplastic surgeon  (eye surgeon who specializes in eyelids).

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A: Fat Grafting

David Shafer, MD
9 months ago

Shaha,

Fat Grafting is likely the best option for you. The synthetic products are also a possibility, however, I feel you will get the most natural result with your own fat. Just make sure you go to someone with extensive experience with fat grafting. Good luck

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A: Ptosis correction may improve hollowing

Kenneth R. Francis, MD
9 months ago

Shaha,

You have a deep upper eyelid fold with a low or ptotic eyelid. This condition requires surgical correction. There are several procedures available and specific to your specific condition. The surgical correction of the ptosis may improve the hollowing. If not, fat grafting may be performed. Good luck!

A: Fat on upper lids is not a great idea!

Robert M. Freund, MD
9 months ago

Although I have vast experience with fat transfer in the lower lids, I am not a fan of fat injections in the upper lids for your problems. The fat may make you lumpy and most importantly the excess weight can affect the muscle from working naturally. Although plastic surgeons love to provide answers for all problems, this may be a case of leaving well enough alone.

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