There are two types of upper eyelid (epicanthalmia) depressions: physiological and secondary. Physiological upper eyelid sunkenness refers to the gradual appearance of sunken upper eyelids after the age of 30 or so for no apparent other reason, mostly in women with thin faces. Secondary upper eyelid sunkenness is most often seen after blepharoplasty, due to improper surgery, and partly due to trauma. For patients with physiological upper eyelid hollows with single eyelids and thin eyelid skin, double eyelid surgery can be done through a minimally invasive method. If you just want to solve the problem of upper lid hollowness, you can do so with an autologous fat graft. For secondary upper eyelid hollows, they occur due to excessive removal or displacement of fat from the orbital septum, along with injury to the orbital septum, causing adhesions of the skin and deep surface tissues to the orbital septum and adhesions to the levator aponeurosis, resulting in sunken upper lids, multiple folds, overly wide heavy lids, and even ptosis. The main corrective solution for these causes is through autologous fat grafting. Will my eyelids disappear or become shallow with the buried eyelid method? It is entirely possible! Although buried eyelid surgery is simple and recovery time is fast, once the knot that maintains the eyelid shape loosens or falls off, the eyelid will become shallow or even disappear, forming a single eyelid again. In addition, because the sutures cannot remove the loose skin, the eyelids will be narrower for those with redundant skin. Also, since the sutures are permanently left under the skin, sometimes you may see knots or inflammatory reactions on the surface, which is another major problem of the buried eyelid method. Of course, this method is still one of the best methods for those who psychologically reject surgery, have very thin eyelids, large eyes, and non-loose eyelids.