Please is this hollow or the muscle?

Question

I had a transconjuctival blepharoplasty 7 month ago .my surgeon has remove a little fat and repose the rest the bags were big) I have a black line a groove specially dlrectly under my right eye . My occuloplastlc surgeon says it’s your orblcularls oculi muscle . At the rlght side is it bigger . This is not botched . I am hollow there or is it the muscle or is it the much fat under them ? If it’s realy hollow at the upper part can the surgeon repose some fat to the upper part is this possible ?

Mats Hagstrom, MD (license on probation) · Answer

This is a tricky area regarding aesthetics. There are two volume changes that happen with facial aging.In a youth will face, the lower eyelid is snug, and the mid face has plenty of volume.
With facial aging the volumes reverse.
In the lower eyelid, fat pads start protruding due to weakness in the Peri orbital septum, and at the same time typically volume is lost just below this in the midface. 
The lower eyelid blepharoplasty deals with one of the two components. Volume restoration just below this area would be the best way to improve your outcome. The easiest way is to work with fillers.
Other alternatives for midface volume include the use of implants, fat grafting, or a mid facelift.
Making a quality assessment and treating this area is complex because the two volumes change immediately adjacent to each other.
Best,
Mats Hagstrom, MD

Please is this hollow or the muscle?

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Please is this hollow or the muscle?

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