It's easy to focus on the area underneath your eyes. But sometimes the change you notice is above them: a deeper hollow beneath the brow, a more obvious crease or an eye socket that looks a little too defined.
Upper eyelid filler restores support to suitable hollows, softening that drawn appearance. The aim is to bring back a smoother contour around your eyes while keeping their familiar shape.
Dr Alex will look at your upper eyelids and brows together, then discuss whether replacing lost volume could give you the fresher appearance you're hoping for.
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With Dr Alex, who teaches dermal filler treatments to doctors, dentists and nurses and is a current trainer for Evolus's Estyme filler range.
What you've noticed
When the hollow is above your eyes
You may have always had deep-set eyes, or noticed the area becoming more hollow over time. An A-shaped hollow towards the inner upper lid is often called an A-frame deformity, which is why you may see treatment described as A-frame filler.
The crease above your eye looks deeper
Your eye socket looks more obvious
One upper lid looks more hollow
The practical details
Upper eyelid filler at a glance
The treatment targets hollow contours above the eyes. Dr Alex will assess whether that is the cause of the change you've noticed.
A fresher appearance
Less hollow above the eyes, less drawn overall
Softening a deep upper-eye hollow can reduce the shadow beneath the brow and make the surrounding contour look smoother.
Your eyes can look more rested because the skin above them no longer dips in as sharply. In suitable eyes, softening that deep hollow can also give the area a slightly more almond-shaped appearance. Where one side is more hollow, treatment may improve the balance between the upper lids.
The aim isn't to fill away every crease. The upper eyelid needs its natural fold, and keeping that shape is part of achieving a result that looks like you.
Filler helps the shadow created by a hollow. It won't necessarily change darker skin pigmentation or the appearance caused by excess skin, a low brow or a drooping eyelid.
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Would it suit you?
Hollowing and hooding need different answers
Adding support can be helpful when volume is missing. An examination establishes whether that is the main issue.
When filler isn't the answer
It won't remove loose eyelid skin
A heavy fold of skin, a low eyebrow and a true drooping eyelid are different from a hollow. Adding filler can make some of these concerns look heavier rather than better.
Dr Alex will explain whether a skin treatment, surgery or an eye specialist's assessment would be more appropriate. A new or unexplained change in one eye also needs assessment before cosmetic treatment.
How it works
Restoring the contour beneath the brow
Hyaluronic acid filler supports tissue around a suitable upper-eye hollow, reducing the depth of the indentation.
When volume is lost above the eye, the skin can sit closer to the bony rim of the socket. The resulting dip catches shadow and makes the area look more sunken. Bony support also changes with age: parts of the socket rim can recede as bone is gradually resorbed, contributing to that hollow appearance.
Filler replaces some of the missing soft-tissue support, softening the dip and the transition from brow to upper lid. It does not rebuild the bone. The treatment is around the upper-eye tissues, not an injection into the eye itself.
This differs from improving the quality of crepey skin. Filler addresses a volume deficit; treatments such as polynucleotides may be considered for skin quality, but they don't replace missing volume in the same way.
Your appointment
A careful look at what's changed around your eyes
Dr Alex will examine your upper lids and brows in person and discuss the appearance you'd like to improve.
Assess the hollow
Agree what to treat
Treatment and comfort
Aftercare and review
Why SONÜ
Why see Dr Alex for upper eyelid filler?
Around the eyes, replacing missing volume and adding unnecessary bulk can lead to very different appearances. Dr Alex will assess the hollow, brow position and eyelid skin together before recommending treatment.
He teaches doctors, dentists and nurses across dermal filler ranges and is currently a trainer for Evolus's Estyme fillers. He has also filmed filler-injection education for MaiLi's international professional audience.
Your consultation will focus on whether filler is likely to soften the sunken appearance you see. If excess skin, swelling or a drooping lid is the bigger issue, he'll explain why another approach may be better.
GMC-registered doctor · 7072776
Full Member of BCAM
International toxin trainer
Aesthetics Awards winner 2021
Safety
What should you know about filler around the eyes?
The eyelid area is delicate. Product choice, the existing tissues and a suitable treatment plan all affect the result.
Possible side effects
Bruising, tenderness and swelling can occur. Possible longer-lasting problems include puffiness, visible or uneven filler, a bluish tinge, lumps and delayed inflammation. Infection is also possible.
Rarely, filler can block a blood vessel and damage tissue. Injections around the eyes also carry a rare risk of permanent loss of vision; stroke has been reported after facial filler. These risks need to be discussed before treatment.
HA filler can often be reduced with a dissolving enzyme if appropriate, but dissolving has risks of its own and cannot be relied on to reverse a serious complication.
Changes that need urgent assessment
Call 999 immediately for sudden blurred or lost vision, severe eye pain, weakness or trouble speaking, and mention the filler treatment. Contact the clinic urgently for increasing or unusual pain, pale or dusky skin, mottling, or redness and swelling that are getting worse. Seek urgent care if you cannot reach us.
When treatment may need to wait
Tell Dr Alex about eye conditions, previous surgery or filler, allergies, medicines, pregnancy or breastfeeding and relevant health conditions so he can advise on suitability. Active infection or unexplained new swelling needs assessment first.
An assessment does not commit you to treatment. You can take time to consider the recommendation.
Treatment costs
Upper eyelid filler pricing
Eyelid filler is listed at £550. A consultation with Dr Alex is listed separately at £75.
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Your questions
Questions about upper eyelid filler
Upper and lower eyelid concerns often get grouped together. Here's how this treatment differs.
What is A-frame filler?
Is this the same as tear trough filler?
Will it help hooded eyes?
Can it make tired-looking eyes look fresher?
Can I have it after blepharoplasty?
How long does upper eyelid filler last?
Will my eyelids look puffy?
Does upper eyelid filler hurt?
Could polynucleotides do the same job?
Can filler help hollowing after an eyelash-growth serum?
Other options
The right treatment for the change around your eyes
Tear trough filler treats hollows below the eyes. Polynucleotides address skin quality, while laser or surgery may be more relevant to selected skin concerns. Dr Alex will explain which option fits the cause of the appearance you want to change.
Your consultation
Let's look at the hollow you're noticing
Book with Dr Alex at SONÜ in Hale, Altrincham to discuss your upper-eye area. He'll assess the hollow, your brows and eyelids, then explain whether filler could give you a fresher appearance while keeping the eye shape you recognise.
SONÜ Medical Aesthetics
34 Hale Road, Hale, Altrincham, WA14 2EX
Doctor-led treatment in a relaxed, private clinic
Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire