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

Question

Since about two years I've noticed that my periorbital hollows have gotten quite deep and interestingly are deeper on the days where I get only little sleep. Some days they seem to be "filled out" a bit more. I am aware that the fat pad above the eye decreases as we age but does this really already happen at 28 years of age? Is the only treatment upper eyelid filler or are there altenatives? Thank you very much in advance

Kenneth D. Steinsapir, MD · Answer

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.

Jason Emer, MD · Answer

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.

Zoran Potparic, MD · Answer

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.

Derek Fletcher, MD · Answer

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.

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

Answers (4)

Answer: Facial micro fat grafting

Answer: Facial micro fat grafting

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (4)

Answer: Facial micro fat grafting

Answer: Facial micro fat grafting

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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.