What is the Safest Procedure for Upper and Lower Eyelid Hollowness?

I am a 22 years old female and I have hereditary hollowness of both upper and lower eyelids. I was wondering what is the safest cosmetic procedure for this.

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18 Doctor Answers | Asked by deepdarkeyes in Chicago

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The Safest Procedure for Upper and Lower Eyelid Hollowness?

Hollow eyelids can be a difficult problem for many people, but injection of fat can be a great solution. Fat injection is carried out by first removing some fat using liposuction, then processing the fat, and then injecting it to the necessary areas around the eyes. The fat transfers are done in small sessions so you can build up to your desired look. Be sure to consult with a board certified facial plastic or plastic surgeon when considering this procedure.

Eyelid Hollowness

In a younger person, lower eyelid hollowness can be improved by blending the eyelid-cheek junction with hyaluronic acid fillers like Restylane in the tear trough area. Surgery is usually not indicated in this young age group.

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

Hollow eyes and how to treat them

You have received a good summary of what can be done. You just need to find a surgeon who you will entrust your care to but fillers or fat are you options at this time with fat having the potential for permanence. You should be informed of all of the potential risks prior to having your procedure.

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Treating Eyelid Hollowness

Eyelid hollowness is often a sign of facial aging, due to fat atrophy. We generally associate fuller facial features, including around the eye, with a more youthful look. Unfortunately, hereditary hollowness can become apparent much earlier. The treatment is usually non-surgical and consists of either cautious filler injections (most often Restylane) near the edge of the orbit (eye socket) and within the eyelid, or fat grafting in the same areas. The fat can be take... more

Treatments for Upper and Lower Eyelid Hollowness

Upper eyelid hollowness at your age is very rare, but can be treated with fillers. Fillers such as Restylane or Juvederm can be removed if you are not happy with the results. This gives you an additional measure of safety and is a priority for you, as it should be for all patients. I have seen many young patients with under the eye hollowness or tear trough deformity. A filler like Restylane, works very well to reduce dark circles and fill in wrinkles. This treatment usually... more

Hollows Around the Eyes Respond Well To Fillers

Combining Belotero Balance with a tiny amount of Radiesse works well for tear troughs below the eyes and hollows above. Tear troughs, hollows, and dark circles are common problems around the eyes. It has become standard practice to treat this region with lighter weight fillers, like Restylane, to lift, straighten, and contour this region. Occasionally, if fillers are inadvertently placed too superficially, a bluish discoloration related to light scattering (a phenomenon known as the... more

Restylane treats hollow eyes

Surgery is not a treatment for hollow eyes. Although fat injections w/ micro-technique can be used, the issue is w/ bumpiness afterward. We have found Restylane, with it's minimal hydrophillic properties, to be the best long-term solution. It generally lasts 12 months or more and produces the most natural result by replacing a very similar soft tissue volume around the eyes. Seek a specialist with experience in this area for best outcomes. Don't do surgery and avoid Juvederm as it causes... more

What is Safest Procedure for Upper and Lower Eyelid Hollowness?

There are two issues, one safety, and the other effectiveness. As a young person you want something safe because you may be repeating the procedure many times, e.g., with the use of fillers. The problem with fillers around the eyes, is that the skin is so thin. It will show almost anything you inject unless it is done carefully and in small amounts. Also the upper and lower eyelid areas are very susceptible to bruising which can lead to down time. It is not unusual for me... more

What is the best treatment for eyelid hollows?

The answer depends on your specific eye/facial anatomy. Fillers are great options for some, while others may benefit from combination of fillers and blepharoplasty. Fat injections may also be useful in some locations. See an oculoplastic surgeon.

Safest treatment for eyelid hollowness

Please post a photo so we can evaluate you other than in generalities and hypothetically. I will say that you have to take your heredity as you find it and try to make the best you, rather than seek someone else's anatomy. Safety must also be defined. Filler injection is a procedure, not surgery, but it is important to be treated by a board certified plastic surgeon or dermatologist.