The appearance of a hollow eye or hollow eyelid can be due to a number of causes:
- Following previous cosmetic eyelid surgery with an over-resection of fat
- Following an injury
- Due to a disorder e.g. Rhomberg’s hemifacial atrophy, scleroderma en coup de sabre
A careful and thorough assessment by an oculoplastic surgeon can determine the underlying cause of the problem. An appropriate treatment strategy can then be applied.
The problem of an over-resection of eyelid fat during the course of a poorly performed blepharoplasty is quite common. This can be treated in the majority of patients with the use of fat pearl grafts. Go to the section on Fat Pearl Grafting for more detailed information about this surgical treatment.