Age 25 - please help with hollow, uneven upper eyelids? (Photos)

Question

I have always been insecure about my upper eyelids. I'm only 25 and they age me. Not only uneven but my main concern is that they are very hollow. I am actually an identical twin yet my sister doesn't have hollow upper eyes. Is there anything besides filler that will help. I was considering fat grafting but have difficulty finding surgeons who do this. Also I have had success in the past with lip fat grafting after a few times. I don't mind getting fat grafted several times

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

C. Blake Perry, MD · Answer

Hollow superior sulcus can be fixed with fat grafting or filler. Asymmetric appearance of the lids can also be due to ptosis of one eyelid. When one eyelid is slightly lower than the other, you often get raising of the brow. This creates a deeper appearance of the superior sulcus. Best to see an eyelid expert for an in person consultation.

John Michael Thomassen, MD · Answer

This can be improved with fat grafting to the upper brow to reduce the deep sulcus.  Also, an upper lid bleph that corrects a slight congenital dehiscence of the levator from the tarsal plate will help place the upper lid sulcus fold closer to the lash line as in the opposite side.  This would be done with a bilateral upper lid bleph, only removing skin on the unaffected side, and correcting the dehiscence on just one side.

Mehryar (Ray) Taban, MD, FACS · Answer

You may benefit from asymmetric upper eyelid filler injection and possible skin removal. Need more detailed evaluation to determine. See an expert.

Age 25 - please help with hollow, uneven upper eyelids? (Photos)

Answers (4)

Answer: Upper eyelid asymmetry

Answer: Upper eyelid asymmetry

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Everything you need to know about Eyelid Surgery

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Age 25 - please help with hollow, uneven upper eyelids? (Photos)

Answers (4)

Answer: Upper eyelid asymmetry

Answer: Upper eyelid asymmetry

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.