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Hollowness FAQs | All Topics

Pertinent Eyelid Anatomy

To understand the causes of and treatments for eyelid hollowness requires a working knowledge of eyelid anatomy. For a video introduction, watch

Anatomy for Blepharoplasty: A Crash Course (11 minutes).


In contrast to all other methods, orbital fat grafting restores missing volume to its natural position (F) behind the orbital septum (E) rather than more superficially.

Cross-Section Through Upper Eyelid



A Eyeball Front portion of eye
B Skin Epidermis on surface, dermis below
C Orbicularis Muscle Eyelid closing muscle
D Tarsus (Tarsal Plate) Stiffening element (like cartilage)
E Orbital Septum Layer holding back the orbital fat
F Orbital Fat Fat from the socket extending into lid
G Inferior Oblique Muscle Muscle moving the eyeball
H Eyelid Retractors Structures that help retract the lids
I Orbital Bone Bone surrounding the eye; socket
J Conjunctiva Lining of the back of eyelid and front of eye
K Periosteum Lining of the bone (called 'periorbita' in orbit)
L Levator Main upper lid opening muscle/tendon


Cross-Section Through Lower Eyelid

Additional diagrams can be found at eyelid and facial anatomy.

An in-depth narrative description can be found in the Insider's Guide to Blepharoplasty: Anatomy.



Orbital Fat Grafting
Solutions for Eyelid Hollowness and Collapse



Orbital Fat Grafting Essentials

Overview
Socket Fat and the "Orbital Flat Tire"
Why Fat Injection is Not the Same as Grafting


Treatment Options - An Introduction
Upper Eyelid Hollowness | Lower Eyelid Hollowness
Upper Cheek Hollowness | Preventable Causes

Pearl Fat Grafting | Strip Fat Grafting
Combination Strip-Pearl Fat Grafting Technique
Small Incision Approach

Orbit-to-Orbit Fat Transfer | Internal Orbital Fat Relocation
Dermal Fat Grafts | Fat Injection | Dermal Fillers

Hollowness and Brow Lift | Doll's Eye Deformity
Hollowness in the Asian Upper Eyelid

Healing and Recovery
Sequential Photos from Before to 18 Months After

Removal of Excess Grafted Fat | Dark Circles
What is Meant By Under-Eye Hollows?
Pertinent Anatomy: Diagrams & Definitions

That Tiny Roll of Upper Eyelid Skin (video)

About Dr. Meronk and Eyelid Hollowness
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