37 year old with inherited sad looking sunken eyes, will fillers help upper eyelids? (Photo)

Question

I was wondering if fillers were the best option for my upper eyelids. 37year old with inherited sad looking sunken eyes. I'm not into surgery for this so was wondering if fillers could help? I will be getting fillers for dark circles

Mehryar (Ray) Taban, MD, FACS · Answer

Yes I do believe you are candidate for upper eyelid filler injection to treat the hollow sunken upper eyelids. See an expert.

Jason Emer, MD · Answer

fillers , lasers, threads, and surgery can all be used to improve the lids.
There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will be the best long term.  There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will be the best long term.  However, non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels and stem cells can all help give some improvement. I suggest. You get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Sheryl D. Clark, MD, FAAD · Answer

Dear explorette:I have successfully filled upper eyelids with a soft hyaluronic acid filler like Beletero and a cannula. Please consult a board-certified dermatologist who is an advanced injector to see if this is appropriate for you. You might want to call in advance to confirm that the doctor is skilled in this procedure.Sheryl Clark MD FAAD

Leonard Grossman, MD · Answer

Surgery or fillers would be the worst choice in correcting the hollowness around the eye area. Your condition is purely genetic and is usually worsened after a pregnancy or weight loss. I have been correcting this condition for more than 27 years with the use of patient's own fat. Restoring lower eyelid and cheek volume as well as restoring volume in the eyebrow and the upper eyelid area, the eyes start to look completely normal and this results in a permanent and natural effect. You absolutely have to find a plastic surgeon who is well versed in fat grafting techniques in the face. This plastic surgeon should also have experience in fat grafting to the periorbital area. I hope this helps and good luck from New York City plastic surgery

Robert T. Buchanan, MD (retired) · Answer

Unfortunately, the first thing you need is a diagnosis. If all you have is congenital lack of fat in the upper lids, then either fillers, as a tool to determine exactly what you need, or, better, fat transfer would correct the problem. However, you may have congenital ptosis (drop) of the eyelids and are elevating the normal fat using the frontalis muscles trying to keep the lids up. If this is the case, you need a ptosis procedure. Once that is completed, you can then reevaluate the need for more fullness. Make sure you see a plastic surgeon or occuloplastic surgeon who can properly evaluate you and help you with whatever you need.

37 year old with inherited sad looking sunken eyes, will fillers help upper eyelids? (Photo)

Answers (5)

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