Upper Eyelid Hollow? (photo)

My upper eyelid has lost it's fullness. Is there a way to fill it out so that is looks less creased. Below is a picture of a woman who had restyane injected into the hollows of her eyelids. Where can I get this done and how much would it cost.

Doctor Answers 11

Upper Eyelid Hollow May Be Aponeurotic Ptosis See An Expert

Thank you for your question.  The left sided picture that you sent showing a hollow upper eyelid looks to me like you may have a form of ptosis of the eyelid caused by disinsertion of the Levator  Aponeurosis.

The levator  muscle is the muscle that opens your upper eyelids and occasionally the muscle pulls away from or "disinserts" from the portion of the eyelid that lifts or opens the eyes.  This is a common condition and nothing to be alarmed about.  However this condition does thin the eyelid and in my opinion injecting anything such as a filler like Restylane or fat is risky because inserting a needle in this area could cause further disruption of this important lid elevating structure.

I strongly suggest that you consult a plastic surgeon who is certified by the American Board of Plastic Surgery who specializes in eyelid surgery or an Oculoplastic surgeon who is certified by the American Board of Ophthalmology.

Reattaching the levator muscle to the lifting mechanism of the eyelid is a straightforward and simple procedure if performed by an expert.

Upper Eyelid Hollows Respond Well To Belotero Balance


Upper eyelid hollows respond well to the injection of volumizing fillers, such as Belotero Balance. Belotero Balance, a hyaluronic acid based filler,has the advantage, due to certain unique aspects in the product's manufacture, to allow it to be injected even in thin areas around the eyes with little concern for the development of a bluish discoloration of the skin seen with other hyaluronic acid injectables that may occur as a result of light scattering. Although I prefer Belotero for this purpose, Restylane L and Juvederm UltraPlus XC have likewise been used successfully for this purpose. The cost will vary according to which material is used and the precise amount injected.

In the hands of an experienced injector, the replacement of volume in this region fills out the hollowed area restoring more aesthetic proportions between the upper eyelid and the lower portion of the brow.  If desired, a test injection of a small volume of salt solution may be used to give an approximate idea of what the final result might look like following actual treatment. Treating areas around the eyes should only be performed by physicians with considerable experience in injecting this location.

Improving upper eyelid hollows with injectable volumizers seldom takes more than five minutes per side.


Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 31 reviews

Eye #blepharoplasty #eyelid surgery eyelid injections

Dear AsianPersuasion

Thank you for your question!  The cost of this procedure will vary- However this is a procedure that should be done by a very qualified injector with an eye for aesthetic contouring and facial shaping.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 118 reviews

Upper Eyelid Hollow?

Restylane is a very temporary filler I recommend fat grafts after Dr Coleman's techniques of micro droplets. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Filling Upper Eyelid Hollow

I have filled this upper eyelid hollow utilizing either fat grafting or Restylane.  Since this is a pretty static part of the face Restylane can last quite a while in this area.  

James C. Marotta, MD
Long Island Facial Plastic Surgeon
4.8 out of 5 stars 80 reviews

Upper eyelids hollow

Yes, sometimes filler can be placed to provide some more fill to the upper eyelid and improve the appearance.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Restylane to fill the hollow upper lids.

I have been performing Restylane injections to the upper lids for several years now.  It is one of the most gratifying treatments for this area.  It is fast to undergo with minimal swelling and bruising.  The cost runs around $600 and lasts about 1 year.

Gilbert Lee, MD
San Diego Plastic Surgeon
4.8 out of 5 stars 23 reviews

Upper Eyelid Hollow can be fixed with either Filler or Surgical Fat Repositioning

You can have Filler ( restylane, juvederm, esthelis) injected to reduce eyelid hollows. This is effective and lasts 12 months. If you are after a permanent option, sliding some fat across and repositioning it to fill the hollow is a surgical solution. Ultimately it is a personal choice. You should consult with a Plastic Surgeon who is comfortable to offer both options.

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 74 reviews

Upper Eyelid Hollow?

If the issue is simply loss of volume in the upper eyelids, then either hyaluronic acid fillers or a small amount of your own fat can be used to fill the hollow area. Hollow upper eyelids most often result from overly aggressive upper blepharoplasty but can occur naturally. Seek a consultation with a Plastic or Oculoplastic Surgeon for more specific advice. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Fat Grafts Would Be Better

Thanks for the pictures.  I see your concern.  I would not recommend Restylane in that area.  Fat grafting over time may give you some correction..  Seek consultation from BC plastic surgeons or facial plastic surgeons.

Dr Es

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.