What can be done about my upper eyelids? They are hollow and droopy. Why is this?

Question

I’m 37 and I really don’t like my upper eye lids because they are hollow and droopy. Would I need a Blepharoplasty and some filler to correct this? I have been told I do not have ptosis so what else could be causing this unusual hollowness for someone of my age? Thanks in advance for your help.

Ajaya Kashyap, MD · Answer

Thank you for your question. Based on these limited photographs you will benefit from a blepharoplasty and filler treatment. You may have some ptosis which can be evaluated on a physical examination. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Jonathan Kulbersh, MD · Answer

In the hands of a very skilled, experienced facial plastic surgeon, you might see good results from upper blepharoplasty. This procedure could address the folds in the upper lid and create a single crease to produce a more natural, refreshed appearance. However, an in-person assessment is needed so that a customized treatment plan can be designed around your specific needs and goals. Schedule a consultation with a board-certified facial plastic surgeon for further evaluation and treatment options.

Kenneth D. Steinsapir, MD · Answer

You have significant bilateral upper eyelid ptosis with a compensatory brow elevation. If you have been using an eyelash growth product, immediately stop using this product. The prostaglandins in these drops are damaging to the upper eyelid fold. You do not really have spare skin despite being advised to have it excised. If you get upper eyelid fold fillers, that will do nothing for the upper eyelid ptosis. It is the wrong approach in my opinion. You need an anterior levator resection ptosis repair with an anchor blepharoplasty. That surgery sounds like skin will be removed but what it really does is make a new upper eyelid crease at a lower location to reconstruct the upper eyelid fold. When the levator aponeurosis is advanced as part of the ptosis surgery, it will help bring your anterior orbital fat forward. When the upper eyelid ptosis is repaired, the eyebrows will relax to a more natural position, this together with the anterior orbital fat will help restore upper eyelid folds. Don't get talked into the wrong things. You have one opportunity to get this done correctly. Your eyes can be your best feature.

David K. Isaacs, MD, FACS · Answer

Hello,
General speaking:- volume augmentation (e.g. injectable fillers) can address upper eyelid hollows.- ptosis surgery can address upper eyelid ptosis (droopy upper eyelids). It can also sometimes help camouflage the upper eyelid hollow but it's usually not enough. - upper eyelid blepharoplasty does not typically address either upper eyelid hollows or droopy upper eyelids
You really need an evaluation, we are scheduling both videoconference and in-person appointments. 
Thanks!

Mehryar (Ray) Taban, MD, FACS · Answer

One useful treatment is upper eyelid filler injection. You may also benefit from conservative upper blepharoplasty. Need more detailed evaluation to determine.

What can be done about my upper eyelids? They are hollow and droopy. Why is this?

Answers (8)

Answer: Hollow and Droopy Upper Eyelids

Answer: Hollow and Droopy Upper Eyelids

Answer: Upper eyelid filler +/- blepharoplasty

Answer: Upper eyelid filler +/- blepharoplasty

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Everything you need to know about Eyelid Surgery

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What can be done about my upper eyelids? They are hollow and droopy. Why is this?

Answers (8)

Answer: Hollow and Droopy Upper Eyelids

Answer: Hollow and Droopy Upper Eyelids

Answer: Upper eyelid filler +/- blepharoplasty

Answer: Upper eyelid filler +/- blepharoplasty

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.