Upper Eyelid Hollowness After Ptosis Repair

The left eyelid ptosis should be addressed, and unfortunately you will need further surgery on the levator muscle. The high crease, hollowness, etc. are by-products of the ptosis. Fat grafting, double eyelid surgery, etc., will not improve the situation. Because ptosis appears to be more common in Asians (my personal observation), surgeons that perform Asian eyelid surgeries, whether plastic surgeons or oculoplastic surgeons, will usually be experienced in ptosis repair.

You must have returned to the original surgeon, have you not?  In your narrative, it would be helpful to know whether your initial ptosis was unilateral (one side only) or bilateral, and what your pre-surgical appearance was.  Your MRD (marginal reflex distance, between pupil and upper lid margin) is ZERO on the left side.  This is the primary asymmetry, and needs to be the focus of any procedure to restore symmetry and left upper lid function.  Fat grafting is NOT part of the initial solution, and should not, in my opinion, be a part of the operative plan at this time.

 When a hollow upper eyelid is the result of an overly-aggressive upper blepharoplasty, fat grafting of the brow-upper lid junction can rejuvenate the eye area in a manner that is simply impossible by means of standard blepharoplasty techniques. A word of caution: this is a delicate surgery that requires a fair amount of experience with fat grafting, and meticulous surgical technique.  In experienced hands a smooth, youthful and aesthetically ideal brow-upper lid contour can be achieved.  Make sure your surgeon can show you numerous photographic examples of brow-upper lid junction fat grafting.View many, many photos to be certain the surgeon you select has extensive experience and expertise with this procedure.