Sunken upper lids are common, and it is not uncommon to see people with protruding orbits and deep-set eyes when walking down the street. It gives people a thin and bony feeling. I summarize the clinical cases for so many years, and found that there are generally the following reasons. 1, with age, orbicularis oculi muscle and orbital septum fat gradually atrophy, we know that the upper eyelid has two lumps of fat: medial cellulite and lateral cellulite. Lateral cellulite is relatively large and shrinks with age. The medial cellulite generally does not atrophy with aging, but is more prominent than when young, and you can often see many older people bulging a small bag above the inner corner of the eye, which is the medial cellulite. 2.Some people have high fusion of orbital septum and levator palpebral tendon membrane, which is innate. Some young people have upper eyelid concavity, which means that the orbital cellulite is lifted higher and does not descend to the proper position, which makes the upper eyelid look concave. 3.Some people have a particularly developed inferior transverse ligament in the orbital septum of the upper eyelid, which is very tough and pockets the orbital fat like a hanging basket. 4, after blepharoplasty, this is not uncommon, now many organizations and personnel do not understand the physiology of the eyelid, when doing double eyelid to fat too much, as if the more the better, the more show the level of the same, resulting in the upper eyelid after surgery, hollow, sunken. There are many methods of correcting upper eyelid depression compiled by experts in professional books, roughly such as: upper and lower eyelid orbicularis muscle co-filling method, upper eyelid orbicularis muscle and orbital septum fat filling method, soft tissue filling method under the eyebrow and so on. In fact, from the reasons I analyzed above, basically two simple methods can be a better solution to this problem: 1, incision method of double eyelid, orbital septum fat release downward, and slightly fixed. This method is very simple, the lower transverse ligament that prevents the cellulite from moving downward is divorced during the operation. 2.If you have had double eyelids before and are told that the previous surgery removed too much fat resulting in a depression, you can extract some of your own fat and do a fine upper eyelid filler. In most cases, both of these methods can be taken and good results can be obtained. For the rare ones it may also be necessary to transpose the brow fat pads, transfer the medial cellulite, etc.