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The hollow or sunken upper eyelid can be unattractive and an aging sign on the face. Genetics, aging, illness, and overly aggressive surgical fat resection can all contribute to a skeletonized, bony appearance of the medial third to half of the superior orbital rim as it blends into the nasal bridge. Restoring the look of lost soft tissue fullness in this area can greatly improve the youthful aesthetic of a hollow orbit. 1) Anatomic Considerations The upper lid skin is usually quite thin in most individuals; there are sensory nerves of the supraorbital and supratrochlear nerve branches, as well as vascular bundles to avoid during the injection of this area. This is an area that requires adva