Trauma is another major cause of sunken upper face. From a car accident, the transmission of force from a violent impact of sports to the eye will cause fractures in the orbital wall. The fracture site occurs mainly in the medial and inferior orbital wall. Some of the orbital contents herniate into the adjacent cavity through the fracture area, causing a reduction in the volume of the orbital contents and resulting in sunken upper lids, sunken eyeballs, and even diplopia. Another important cause is trauma to the eye’s lens and vitreous humor, and atrophy of the orbital fat, which reduces the volume of the orbital contents and also causes sunken upper lids. This deformity greatly affects the patient’s vision and appearance. Surgery is required to correct it. The best time for surgery is 3 to 10 days after the injury, when the infection is under control and the swelling has largely subsided. The goal of surgery is to repair the defect by repositioning the herniated orbital contents, repositioning the fracture and placing an implant. For volume reduction, the ideal repair methods are currently implantation of free or tipped fascial flaps and injection of autologous fat. With increased orbital contents and support of the bone wall, the depression and retest on the injured side will be well repaired by surgery. The aim of surgery for old lesions is the same, but with increased difficulty. The herniated orbital contents are already adherent to the tissue in the fracture area and separation will bleed, increasing the chances of postoperative hematoma and infection. Traumatic episcleral hernia requires a rigorous preoperative evaluation, including estimating the amount of orbital volume and the amount of contents through CT films, to determine the surgical plan. And careful intraoperative manipulation and close postoperative observation are also extremely important. The Department of Plastic Surgery at Shanghai Jiu Hospital has been performing traumatic orbital repair for more than a decade and has accumulated a wealth of experience. With the increasingly advanced equipment, the diagnosis is more rapid and accurate.