What Type of Facelift Will Correct Under Eye Hollowness?

   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.

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.

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

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.  

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