Sunken Eye Revision - SM Plastic Surgery

Where too much fat was removed at the earlier surgery, or adhesion has drawn the tissue up and left it looking hollow, adhesion is released and the hollow filled through micro fat grafting or tissue repositioning, restoring the curve. Results vary from person to person with the cause and the tissue.

Loss of volume with age, excessive fat removal at earlier blepharoplasty or double-eyelid surgery, and tissue drawn up by adhesion can all be causes. Before revision, it matters to diagnose which cause predominates.

Some of the grafted fat takes and some is absorbed; the degree of take varies with constitution and method. Where needed, supplementary grafting can be discussed as the course is followed. An exact duration cannot be stated with certainty.

Because the tissue and adhesion need time to settle, waiting 6 months to 1 year after the earlier surgery is usually recommended. The timing can shift with the state of things, judged at consultation.

With adhesion release and fat grafting involved, swelling can exceed the first operation, and how long the major swelling takes to subside varies considerably. We advise as the course is followed.

A hollow upper eyelid casts a shadow that can make the eyes look tired and aged. We first separate out what is causing the hollowness, release any adhesion, and then restore volume with micro fat grafting or tissue repositioning to bring back a natural contour.

If the hollowness comes from tissue that has been pulled upward by adhesion, releasing that adhesion and repositioning the tissue alone can sometimes restore the contour. Which method suits you is decided after checking the cause and the condition of the tissue.

The fat that was removed cannot simply be put back, but we aim to fill the hollow area with micro fat grafting or tissue repositioning to rebuild the contour. How much can be restored and the result vary between individuals, so the scope is set after a detailed examination.

It refers to tissue at the previous surgical site sticking together and being pulled upward, which can look hollow even when there is no shortage of fat. In that case we first release the adhesion to create space, then add only as much volume as is needed.

When the hollow area has made the crease unstable, we restore volume while also making sure the line runs naturally. Whether the crease itself needs to be reset is decided by analyzing the upper eyelid condition together with the line.

Volume loss from aging is one of the causes of a hollow eyelid, and we diagnose it separately from hollowness caused by earlier surgery. Because the cause determines how much reinforcement is needed, the method is decided after a detailed examination.

We fine-tune both the amount and the placement so the contour is restored without an unnatural bulge. Grafted fat does not take up evenly in everyone, so follow-up is needed and the result varies from person to person.

It depends on whether drooping of the eyelid is present as well, so we analyze the upper eyelid condition together with the crease. In some cases restoring the hollow area alone is enough, so we set only the scope that is actually needed after a detailed examination.

When adhesion release and fat grafting are done together, there can be more swelling than after a first surgery, so keeping to the follow-up schedule matters. We guide patients to plan on one to two visits and explain the precautions that apply to your condition.

We do not judge by the degree of hollowness alone; we also look at whether the cause is a lack of fat or adhesion, and where the shadow falls. In some cases we conclude that reinforcement is not necessary, so the decision follows a detailed examination.