Missing adequate structural support from below, the brow may sit low. While not always desirable, a low brow position can serve to conceal the extent of deep upper hollowness. Brow lift can lead to increased exposure of the basic flaw and worsening of the overall appearance.

For ease of reference, we have named the following characteristic and not uncommon collection of findings the doll's eye deformity:

• advanced upper eyelid and sub-brow hollowness
• exposure of the bony orbital rim
• absence of an eyelid crease
• often accompanied by mild ptosis
• often accompanied by a low brow position

The only effective treatment for a doll's eye disorder is orbital fat grafting using a more extensive approach than typically employed for simple hollowness following upper blepharoplasty.

More than one operation may be necessary to restore optimal volume to both the orbit and sub-brow spaces.

When ptosis is objectionable, it may be improved with a later operation.