The Eyelids Don’t Look Puffy or Hollow
Dr. Kwak delves deeper into the importance of natural eyelid contours. “Centrally, the upper lid has a medial fat pad which can start to herniate over time, which can create a puffy appearance to the eyelid along the nasal side of the upper lid,” Dr. Kwak explains. “Also with time, the eyelid can lose volume just adjacent to this fat pat which can create a hollowed appearance to the eye.”
These two regions can result in significant contour issues which can create an aged appearance to the eye. “To address the medial fat pad herniation, the redundant fat needs to be properly excised to achieve a natural contour centrally,” Dr. Kwak says. “For the hallowed upper lid, a fat transfer may be necessary to address this volume deficiency. A good outcome will have a seamless contour as it transitions from the nasal side to the outer side of the eyelid above the supratarsal platform (crease).”