Do I Have Ptosis? If So What Came First, Hollow Eyes or Ptosis? (photo)

Your observation is right on the money:  you do have upper eyelid ptosis. This droopy eyelid can lead to a more hollow upper eyelid, and ptosis repair will improve the hollowoness somewhat, but it may also lead to a bit of more redundant skin.

This may be something that is may be ideally addressed in two stages: first repair the ptosis to see what effect it will have on improvement on the upper eyelid hollowness. If you are not happy with the improvement, the second stage can address with fat grafting and possible skin excision.

If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website.

 

The high lid crease and minimal distance of the eyelid above the pupil (MRD) indicates ptosis. This is best repaired by an Oculoplastic surgeon. In Orlando area, I recommend Dr. David Auerbach or Dr. Tom Kropp. I have referred patients to them with good results. If you have subsequent cosmetic concerns of hollowness, we can help with Restylane injections, which give volume in those areas. Best, Dr. G.

You definitely have eyelid ptosis and hollowness.  The two are essentially unrelated.  However, ptosis can make the hollowness more pronounced and ptosis surgery can help fill the hollowness to some extent.  Consult an oculoplastic surgeon for nonsurgical (filler injections, etc) and surgical options (ptosis surgery, fat injections).

You do appear to have a bilateral upper eyelid ptosis. That is a very astute observation! Your deep upper eyelid sulcus is likely related to your ptosis. I recommend that you consult with an oculoplastic surgeon or plastic surgeon with alot of ptosis repair experience. This surgery is not the same as an upper blepharoplasty and you do need a specialist familiar with ptosis repair. I hope this information is helpful.Stephen Weber MD, FACS

Ptosis is certainly present in both eyes and should be addressed by an oculoplastic surgeon. Once the eyes are in the appropriate position, the hollowness on the upper lids will not be as apparent.  The hollowness did not cause the ptosis.