It is a cruel thing to grow old, the meat that should not have slowly more, double chin, butterfly sleeves, waist and belly with a swim ring, back can be a grasp of a handful of meat. The meat that should have slowly no more, the face apple muscle is gone, the mouth becomes deflated, and even gums are shrinking. The most horrible thing is that the upper eyelid is gone, the eyes are sunken, and you are starting to age in the mirror. Why do Asian people with sunken upper eyelids look older? A sunken upper eyelid deformity is also an obvious sign of aging that is often overlooked. Some people even have the misconception that sunken upper eyelids are a sign of European eyes and look foreign. In fact, Europeans and Americans with deep-set eyes Asians can’t afford to learn from, they have short eyebrow distance, Asians have long eyebrow distance, Europeans and Americans have narrow upper eyelids, Asians have wide upper eyelids. The deep eyes of Europeans have a deep effect, while Asians look haggard and old. What are the types of upper eyelid hollows? Upper eyelid hollows are divided into physiological and secondary types. The physiological type of upper eyelid sunkenness refers to the gradual appearance of sunkenness in the upper eyelid after the age of thirty for no apparent other reason. Secondary sunken upper eyelids are most often seen after blepharoplasty, due to improper surgical procedures, and some due to trauma. 1. Physiologic upper eyelid depression: In physiologic upper eyelid depressions, the cause is due to a physiologic decrease in fat in the orbital septum (as indicated in the figure below), and the principle of treatment is to replenish what is missing, i.e., fill the volume. There are many filling materials, but because of the thin upper eyelid skin and the complex and delicate structure, it is not advisable to choose materials that are wandering, hard and not easy to downgrade. The last filling is the application of local fat, because according to the best principle, what is missing is the best to fill. 2. Secondary upper lid depression: More than 10 years ago, traditional blepharoplasty required the removal of some of the intraorbital fat in the upper lid as a routine step in the procedure. Some patients and doctors blindly pursued the so-called European-style eyes, removing much of the muscle and fat under the eyelids. These patients, as they age, become lax in the skin, degenerative changes occur in the intraorbital tissues, and the deep sunkenness of the eye sockets gradually worsens, making the eyes appear gaunt and the image of aging obvious. Currently this type of patient is increasing year by year, especially in patients who had blepharoplasty in the 1980s and early 1990s, who have a high likelihood of developing sunken upper lid deformity. This is because in those days blepharoplasty was performed to remove more fat as a matter of routine and because European eye surgery was prevalent, resulting in an increased chance of upper lid hollows occurring years later. How do you fix upper eyelid hollows? 1. Injections: There are many injection materials for eyelid hollows filling with medical materials such as collagen and hyaluronic acid. Injections to fill eyelid hollows have obvious effects in the short term, but they are usually time-limited and do not last long. 2, autologous fat filler: autologous fat filler upper eyelid hollows use a certain amount of fat extracted from a location where there is more fat in the human body, and then these extracted fat is centrifuged and extracted through a centrifuge, and then used as a filling material to fill the hollowed eye sockets. It is ideal. If you want to get back your lost years, find a trustworthy plastic surgeon!