As some people age, their upper eyelids begin to lose volume and create a sunken-in appearance. Below is an example of a patient with hollow upper eyelids.
Upper Eyelid Hollow - Before Surgery - Dr Guy Massry

When a patient has hollow upper eyelids, it makes the patient look older and tired. While this area can be treated with filler, in some cases surgical intervention is the best long-term option. However, as always with the eyes, it is very important to find a board-certified oculoplastic surgeon, like Dr. Guy Massry, who has extensive experience with this type of procedure.

Surgery for Hollow Upper Eyelids

 

To restore a youthful appearance for patients with hollow upper eyelids, Dr. Massry will perform an upper blepharoplasty with fat repositioning.

The nasal fat pad of the upper eyelid is dense, continuous and relatively rich with stem cells. These qualities make the nasal fat pad a good option for transposing from areas of excess fat to areas of deficit.

To perform upper eyelid fat repositioning, Dr. Massry begins with the regular upper blepharoplasty skin incision. Then he locates and divides the nasal and central orbicularis muscles and orbital septum so that he can access the nasal and central fat compartments. He releases the nasal fat from all of the connective tissue attachments so it is a freely mobile fat flap. The fat is then transposed over the areas of volume deficit, creating a smooth medial upper brow to upper lid transition.

Watch Upper Eyelid Fat Repositioning Surgery


As you can see from the video, this procedure fixes hollow upper eyelids and creates eyes that appear full, contoured and smooth.

Please note this patient also had a brow lift with upper blepharoplasty in addition to the fat repositioning. 

Contact Dr. Massry today!

If you are unhappy with the appearance of hollow upper eyelids, please contact our office to schedule a consultation with Dr. Massry today – 310.657.4302.

Read Dr. Massry’s article on this topic – Effacing the orbitoglabellar groove with transposed upper eyelid fat.