I had an upper eyelid lift (blepharoplasty) performed in the past by another surgeon. I am concerned with a sunken appearance to the upper lid region. What, if any, options are there to correct this issue?

The most common reason for someone to seek out upper eyelid surgery (lift and/or blepharoplasty) is to treat excess skin of the upper lid that results in hooding of the upper eyelid. For patients with hooding of the upper eyelid skin, a blepharoplasty is performed to remove the excess skin. Traditionally, fat is removed from the upper eyelid as well. This surgery, when performed correctly, can provide a beautiful result. However, one potential complication of this surgery is a hollow appearance to the upper eyelid and an unnaturally high upper eyelid crease. I avoid this complication by meticulous design of the planned surgery. Also, I very rarely, if ever, remove fat from the upper eyelid because I believe that volume is important to maintain a youthful appearance to the eye. I have seen hollowness to the upper eyelid and an unnaturally high upper eyelid crease in patients who had upper blepharoplasty performed elsewhere. For those patients, I recommend filler augmentation to the upper eyelid to add volume to the upper eyelid, to provide a more natural upper eyelid crease, and thus, give a more youthful appearance to the eyes. For an example of such a case, click here.