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A 20-year-old male asked:

my upper eyelids seem hollow. can sleep fill them back like they should be? are fillers through surgery the only way? what to do?

3 doctor answers4 doctors weighed in
Dr. Babak Farzaneh
Plastic Surgery 20 years experience
No: I do not believe sleep will help. Fillers may be helpful but it should be done only by a very experienced injector. It is very easy to overcorrect this area. You should be evaluated by an oculoplastic surgeon first to explore the etiology and then possibly offer any correction.
Dr. Nancy Swartz
Facial Plastic Surgery 41 years experience
Fillers, not surgery: Fillers are a good way to address hollow upper eyelids. It is usually an injection performed in an office without surgery. Some people collect fluid in their eyelids when they sleep, so their eyes look more full when they wake up.
Dr. Jason Bloom
Facial Plastic Surgery 20 years experience
Fat or fillers: The treatment options for hollowed out upper eyelids is to fill this area. Hyaluronic acid fillers like Restylane (dermal fillers) are good for this area and can be done in the office. Structural fat grafting is a longer lasting procedure and is done under sedation in the or. It involves suctioning ones own fat, preparing it and injecting it in microdroplets to fill in the area. Both are good choices.

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Last updated Feb 18, 2015
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