How Can I Improve Upper Eyelid Hollowness? (photo)

Question

Hello, what is potential of improving this area? I don´t have a normal amount of fat here (whole my life). I was thinking about fillers (Rest., Juve.) to reduce the lack of fat in this area but I´ve red too many sad stories and saw many unpleasant results (and complications) to do such a thing so close to my eyes. Would be structural microfat grafting better option (but what about Fat necrosis? Or somehow tighten sunken skin close to upper eyelids using Aptos or other technique? Thnaks a lot.

Toby Mayer, MD · Answer

Leave you lids alone--they look normal and do not need anything. You can always find a surgeon to tell you what you want to hear!

Cameron Chesnut, MD, FAAD, FACMS · Answer

Upper eyelid hollowness is a dramatically underappreciated, yet incredibly important component of aging in the eyelids. With normal aging, our upper eyelid fat pads tend to retract and expose this upper lid hollowness, those with “deep set eyes“ are especially prone, and unfortunately old-school upper eyelid surgery that is overly subtractive can artificially create this hollowness early, actually looking worse than it did before surgery - the before and after photo in the link below resulted from overly subtractive upper eyelid surgery with another surgeon, and you can see the results after revolumization of the upper lids. Correcting this hollowness can happen with fat or filler injections into very specific planes of the upper eyelid, or transposing and rearranging the upper eyelid fat pads to provide fullness, as you see in this surgeon’s view video, borrowing the excess fat to move into the areas lacking fullness!
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Mehryar (Ray) Taban, MD, FACS · Answer

Eyelids are delicate structures with the thinnest skin in the body.  In order to avoid problems (lumps, etc), it is best to use absorbable fillers that are also reversible. The best is Restylane. I have a written an article on this topic, which you can find on my website.  Consult an oculoplastic surgeon to determine if you are a good candidate for it.

Eric M. Joseph, MD · Answer

I read your concerns and reviewed your photos:

	You could have the hollow you're pointing to filled, but I'm not sure this would make you look better or make you happy. That hollow area is a typical location of the upper eyelid medial fat-pad, and adding volume to this area may not look attractive.

	You can see this hollow because your upper eyelids hang a bit low (ptosis), with your left eyelid hanging lower than your right. If you're concerned about the appearance of your eyelids, consult a reputable, certified oculoplastic surgeon to see what might be best for you.

	I hope this helps you.

	Dr. Joseph

Steve Laverson, MD, FACS · Answer

I've filled this area with Juvederm and Restylane in the past, and Dr. Val Lambros published a paper about it some time ago.  Obviously, the operator is an important part of your outcome.  You need somebody skilled, and the injections should be done very slowly and incrementally.  You look in the mirror after each small aliquot is placed to see the result as it develops, and let the operator know if you want more, and where.

How Can I Improve Upper Eyelid Hollowness? (photo)

Answers (9)

Answer: You may consider consulting an oculoplastic surgeon to see if you're a candidate for ptosis repair.

Answer: You may consider consulting an oculoplastic surgeon to see if you're a candidate for ptosis repair.

Answer: Filling hollow of upper eyelids

Answer: Filling hollow of upper eyelids

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.

How Can I Improve Upper Eyelid Hollowness? (photo)

Answers (9)

Answer: You may consider consulting an oculoplastic surgeon to see if you're a candidate for ptosis repair.

Answer: You may consider consulting an oculoplastic surgeon to see if you're a candidate for ptosis repair.

Answer: Filling hollow of upper eyelids

Answer: Filling hollow of upper eyelids

Browse related questions

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.