Superior sunken sulcus at only 28 years old - is upper eyelid filler my only treatment option? (photos)

You have upper eyelid ptosis with a compensatory eyebrow elevation. Correct the upper eyelid ptosis and lower the upper eyelid crease. The anterior orbital fat and the fat pad associated with the tissue below the eyebrow contribute the volume that fills out the upper eyelid fold. You need a thoughtful upper eyelid reconstruction to restore the upper eyelid volume. Upper eyelid fillers do not fix the upper eyelid ptosis or correct the compensatory eyebrow elevation. Your eyes can be your best feature.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Only a very subtle fat grafting by an expert may improve this condition. In person consultation with a board certified plastic or oculoplastic surgeon, exerienced with fat grafting, is recommended. Good luck.

The supra orbital rim and upper eye sulcus is an area I commonly treat with facial micro fat grafting. This technique must be performed with exacting precision and cannot be overdone due to the high retention rate of fat in this area. However, safely restoring volume in this area with fat that will last many years has become standard practice for many of my facial plastic surgery patients.