Unhappy with the appearance of my eye/eyelid/brow area. What could improve it?

Based on your photos, you have lovely eyes so I wouldn’t do too much to change their appearance. If you are concerned about the hollowing in the upper lids, small amounts of filler might be able to reduce the appearance. This is an off-label use of a filler and it requires a very careful touch and precision in placement and dosing to ensure an optimal outcome. Make sure you are working with a board-certified plastic surgeon who is also an expert in fillers so your results are as positive as they can be. 

You may benefit from upper eyelid filler injection to add volume to the relative sunken hollow upper eyelids. Best to have personal consultation to determine what is best for you. See an oculoplastic specialist.

To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. I suggest getting a formal consultation with a facial sculpting expert. 

The ptosis is associated with a hollow upper eyelid sulcus and likely represents a centrally disinserted levator aponeurosis.  The vast majority of ptosis surgeons you will meet will want to offer you a mueller's muscle conjunctival resection ptosis surgery. It is fast and easy for the surgeon. The problem is that it will not work for your eyelid. The surgery works when the levator, the tendon of the palpebrae superiors muscle that raises the eyelid, is attached to the tarsus, the hard platform of the upper eyelid. That is not the case for you. Surgery will be unsatisfactory even if the neosynephrine test in the office opens the eyes. The anterior levator resection ptosis surgery created the opportunity to make a hard crease at the desired location and advance the levator aponeurosis tendon to that level. Anterior orbital fat is usually brought forward with this maneuver. When the ptosis is corrected, the eyebrows will relax down. Your eyes can be your best feature.

One of the options to treat hollow upper eyelids is with fillers in this area; with this treatment, your eyelids' appearance will change by adding a little bit of volume and contour to the area. This is an off-label use for fillers, and it was to be carefully done with a cannula by an expert on the field. My recommendation is to have a person to person consultation with a board-certificated plastic surgeon with dermal fillers' experience and be clear at the moment of explaining your concerns and the way you want to look.

You may or may not want to hear this, but you have beautiful eyes.  Don't let the false images on TV or social media affect your self esteem.  Don't start getting injection by someone who just wants your money and will tell you that your eyes are hollow.  Enjoy your youthful radiance and leave the fillers and botox for those people that really need it.

Hi,Your upper eyelids are hollow and you may benefit from carefully placed fillers to add some fullness/softness to the bony rim of the upper orbital rim and eyelids. Injecting in this area is "off label" and requires a skilled and experienced injector. Best,