Hollows in the sub-brow region above the upper eyelid may occur naturally, but are often the consequence, as in this instance, from over aggressive fat removal during blepharoplasty. (A similar, unwanted hollowness can be created for the same reason during lower lid blephs).I would be reluctant to use fat injections since these may leave difficult to manage lumpiness and irergularity in the very thin skin of the region and may, in addition, not give rise to significant longer lasting results than those obtained with traditional fillers. In addition, injectable fat, which taken from the thighs, abdomen or buttocks, retains those areas' potential to enlarge with age related weight changes. Fortunately, a couple of especially good fillers are available for treatment hollowness in the sub-brow region (and under the eyes): Belotero Balance (which I use in my Upper East Side Manhattan practice) and Teosyal Redensity II (which I use in my Israel satellite facility), both of which possess little to no tendency to give rise to the unwanted, bluish Tyndall Effect that can be seen whenr other fillers are injected superficially in the delicate tissues around the eyes.Treating the periorbital region with fillers should not be left to the hands of inexperienced injectors trained in two-day seminars to inject the smile lines. Make sure to seek treatment by a board certified aesthetic core physician with extensive experience and expertise in injecting this very important region and ask to see his/her befores and afters.
