Lower Eyelid Hollowness? (photo)

I have lower eyelid hollowness as shown on picture. I try 2 fat grafting procedures already (with Restylane), and fat appeared nice after graft but after 1 year it is gone. You also see lower eyelid is puffy. Is there a way to allow the lower eyelid to appear flat and blend with outside corner of the eye (much like movie actors like Tom Cruise as an example)? Is fat grafting solution, OR, should I look into getting myself an orbital rim implant for a permanent solution? Please advice.

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3 Doctor Answers | Asked by ramrat in Detroit, MI

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Lower eyelid hollowness. What to do?

Many people see lower lid shadows when looking into the mirror. In fact, most of us have a "tear trough" beginning in the inside corner of the lower lid (it funnels our tears from the medial eye down along the cheek). This is not an abnormality but can become accentuated with aging and skin changes. As we get older, the central midface tissues may migrate downward, and the lower eyelid skin may thin, and these factors may then create "circles" under the eyelids. These unwanted shadows... more

Donn R. Chatham, MD

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Louisville Facial Plastic Surgeon

Lower eyelid hollow

Injections of Restylane and fat, etc., are done, but don't always last and reports of blindness have been reported. You may also consider a blepharoplasty with vascularized fat transferof periorbital fat to the hollow area.

Fat Grafting for under eye hollows

Fat Grafting, performed by a plastic surgeon with the appropriate technique should provide a lasting result. For fat grafting to truly represent 'grafting', the grafted tissue must gain a blood supply in its new location which provides a source of oxygen and nutrients and allows the tissue to persist indefinitely. If the grafted fat does not acquire a blood supply in the first few weeks after surgery, the body will gradually break it down and dissolve it, and no long-term benefit will be... more