Deep Set Eyes Upper & Lower, Options to Make Them Less Hollow Looking? (photo)

I am a 34YO caucasian with epicanthal folds almost horizontal just between the bridge of my nose & upper eye. It makes my eyes look very dark & hollow and are becoming more pronounced with age. I want to get filler in my tear troughs but am unsure of options for upper eyes. Please help

Doctor Answers 5

Dark hollows around eyes: what can be done?

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A little filler in the tear trough would go a long way.  Putting filler in the upper eyelid could cause changes in the shape medially and would be best avoided.

Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews


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The same treatment [very modest amount] to the upper eyelids may improve the epicanthal fold as well. Would need to be placed deep and very minimal amount. 

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

Eyelid fillers

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I would possibly consider filling tear trough with restylane diluted.  As for the uppers, I would leave them alone.

Upper lid hollows

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You can consider the same type of filler for the upper lid and brow hollows as you want for the lower lid hollows, namely hyaluronic acid gel types. 

Filler for eyelid hollows.

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Just have a small amount of Juvederm or Radiesse placed in the lower tear trough. Do nothing to your upper lids-they are beautiful!

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.