What Type of Facelift Will Correct Under Eye Hollowness?

Will facelift correct under eye hollowness? Thanks

Doctor Answers 25

Facelift and Fat Grafting

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   A physical exam would be imperative to sort your specific problems, but a combination of fat grafting and/or cheek resuspension may be in order if you have hollowness at the lid cheek junction.  Sometimes a lift is not necessary.  You may need filler or fat grafting.

Correcting Under Eye Hollowness

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The key is to blend the eyelid/cheek junction and this is done with a 5 Step Blepharoplasty for lower eyelids where you reshape and camouflage the eyelid/cheek junction with or without removing eyelid fat and then restoring deep malar fat to provide for shaping of the eyelid/cheek junction.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Cosmetic facelift surgery, lower eyelid bags

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Dear BrookeCO,

  • The combination of a facelift and fat grafting gives really nice results to solve 2 different problems
  • They complement each other in the treatment of the aging face
  • If your neck and jawline are fine, then just stick to lower eyelid treatment

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Consider volume replenishment

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Hello, Thank you for the question. Although there are several reasons to have under eye hollowness correction often involves volume replenishment such as fat grafting. Lower eye lid fat removal or redraping may also be warranted and beneficial.

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews

Endoscopic midface lift for under eye hollowness

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An endoscopic midface lift will elevate the soft tissues in your cheek and restore some of the volume under your eyes.  A certain degree of improvement may also be noticed after a deep plane facelift if your surgeon takes the dissection medially enough.  Depending on the cause of your under eye hollowness, lower blepharoplasty with fat repositioning and fat grafting may be the most appropriate treatment to correct it.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Will facelift correct under eye hollowness?

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Hi BrookeinCO,

Treatment of under eye hollowness depends on the condition creating the appearance of hollowness. Fillers are used to treat areas of volume loss. Surgery is performed to remove or reposition fatty herniations that can give the appearance of lower eyelid hollowness. Often, both treatments are recommended. Diagnosis by a facial surgeon is necessary to determine which treatment(s) is best for you.

Best of luck,

Dr. Tom Kaniff

Thomas E. Kaniff, MD, FACS
Sacramento Facial Plastic Surgeon
4.7 out of 5 stars 25 reviews

Solutions For Under Eye Hollowness

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A face lift will not correct under eye hollowness. As we age, our faces lose collagen and fat resulting in midface (cheek) volume loss. Typically the best treatment for volume loss is dermal filler such as restalyne or Juvederm. Transferring fat to this area is a great solution as well.

James Chan, MD
Portland Facial Plastic Surgeon
4.9 out of 5 stars 60 reviews

Facelift to correct hollowness under the eye area...

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Unfortunately a facelift will not correct this type of problem.  A facelift focuses on the lower part of the face, jaw line, and neck.  The procedure that is beneficial to the lower eyelids is lower blepharoplasty with fat transfer.  The fat is usually harvested from the outer thigh, processed, and  injected into the hollows around the eye.  This procedure combined with a lower blepharoplasty greatly improves the appearance of the lower eyelid area.  Both procedures are easy to go through and give a great result with minimal down time. There are other options such as Juvederm or Sculptra that can fill the hollows, but they do not work as well as fat.  Consult with your board certified facial plastic surgeon to discuss the best options for you. 



























































































































































































Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 222 reviews

Under eye hollowness

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What you described may best be treated with fat grafting or fat transposition during a blepharoplasty.  Facelift is unlikely to correct what you have described.

Dr. ES

Under eye hollowness

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Facelift is unlikely to correct under eye hollowness.  Lower blepharoplasty and/or filler or fat injections are more likely candidates.  See an oculoplastic surgeon.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 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.