This young patient shows a very deep and highly arched hollowness of the right upper eyelid due to the loss of orbital fat following an orbital fracture years earlier. Such hollowness is sometimes called a superior sulcus defect.
Previous operations designed to help this problem have yielded poor results. The patient had visited several oculoplastic surgeons and been advised that nothing could be done.
By utilizing fat extremely rich in its fascial component, a stable one-piece graft is able to be implanted without creating lumpiness or upper lid immobility.
Using the technique shown below, two such grafts were layered, thus allowing for more added volume and a safe and natural-appearing enhancement.
