Upper-Lid Fat Grafting · Restoring a Hollowed Lid with Nanofat

I've written before about the hollowed look that develops above the eye,

and want to revisit it here.

Upper-Lid Fat Grafting · Restoring a Hollowed Lid with Nanofat

There is lid skin laxity, and the area above the eye sits hollow.

Some patients receive fat grafting alone, but the upper-lid fat pad has often retracted toward the orbital rim — that's the underlying issue in many of these cases.

In Asian eyelid anatomy, the fat pad normally extends much further down toward the lid margin; here, it has not.

When we reposition the retracted fat pad downward and supplement with a small volume of grafted fat, the result tends to be excellent with very little graft volume needed.

Over-grafting tends to leave irregular, unnatural-looking lumps.

One month post-op.

The fat has begun to take, and the swelling has settled considerably. The crease is still a touch unsettled at one month.

Some residual swelling remains at the one-month mark, and the scar is still visible — both will fade with time.