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

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!

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.

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.