What is Superior Sulcus / Temple Filler?
“Superior Sulcus” hollows (otherwise known as periorbital hollows, or upper-lid hollows) occur above the upper eyelids but below the orbital bone – giving the eyes a sunken “tired” appearance. Often, this condition is associated with droopy eyelids, but it can also occur as result of an overly aggressive upper-lid blepharoplasty where too much tissue been removed. If correcting the droop of the upper eyelid (thus repositioning the fat) does not help, then an injection of filler into this area can restore lost volume. We can help the patient to envision the final outcome by first testing first with saline; however, best results are seen with a hyaluronic acid-based filler.
Temple hollows often occur over the lateral eyebrow area and make a patient look “gaunt”. Fillers placed in this area can rejuvenate the “eye frame” and eyebrow and can also reduce dynamic crows feet smile lines.
How does the procedure work?
Dr Sabrina will often use an ultrasound to scan the area prior to injection to ensure the best technique to inject these areas. Dermal fillers contain an anaesthetic called lidocaine, which reduces discomfort, but often a numbing cream is applied for 15 mins prior to the procdure. The hyaluronic acid-based filler is then injected into the Superior Sulcus hollow or Temple hollow using a cannula. With its blunt tip, a cannula eliminates the risk of perforating any vessels and is well-suited for a high-risk area. Immediately after, the hollow cavity has been eliminated and upper-eye and lateral eyebrow hollows are dramatically lessened. The whole procedure takes around 15 minutes.
- Immediate result – perfect for those seeking an instant improvement
- Minimal downtime – can return to work straight away
- Unrivalled expertise – performed by leading oculoplastic surgeon
Ask Us A Question Or Book An Appointment
Call or email us today, we would be delighted to answer your questions
Patient Questions
Commonly Asked Questions about Superior Sulcus Filler
When will I see results?
Following Superior Sulcus Filler, you can expect to see results immediately.
What is the downtime?
There is minimal downtime with Superior Sulcus Filler, however you might experience some bruising, redness or swelling in the treated area. If this happens, it usually subsides within a matter of days, and can be easily covered by makeup.
Is treatment painful?
Hyaluronic acid-based dermal fillers contain an anaesthetic called lidocaine, which reduces discomfort, therefore numbing cream is usually unnecessary. However, should you be concerned about discomfort, this can easily be applied beforehand.
How long does Superior Sulcus Filler last?
The Superior Sulcus cavity is a closed compartment – therefore treatment with filler to this area can last up to two years.
What are the risks of Superior Sulcus Filler?
Following treatment, an irregularity in contour, incomplete improvement, or an “overcorrection” of the Superior Sulcus hollow, can occur – however this is rare.
About Dr Sabrina Shah-Desai MS, FRCS
Dr Sabrina Shah-Desai is a distinguished oculoplastic surgeon and one of London’s leading eye specialists. She has over two decades of surgical experience and is renowned for her ability to create a natural look.
Dr Sabrina has a deep anatomical knowledge of the periorbital area and an appreciation for the differences in treating both men and women. When raising the brows and eyelids in a male Upper-Lid Blepharoplasty, it is important to preserve the T-shaped brow – in order not to feminise their appearance.
“I had a very positive experience. She provided me with relevant pictures of what to expect post surgery which was very useful. Her post op information was clear and easy to follow. She came across as a very caring and confident practitioner. The outcome she described before surgery was realistic and she skilfully performed this.”
“I would like to express how happy I am with the results of my upper blepharoplasty. My eyes have healed really well and I am already getting compliments on how perfect they look! I would like to thank Mrs Sabrina Shah-Desai for her time, caring attitude and excellent results.”
“I've been wanting to have upper & lower lid surgery for some years. I have hereditary heavy eyelids, tea troughs & also bags under my eyes. I'm constantly told I'm looking tired! I researched a lot of surgeons & finally came across Sabrina Shah-Desai through a recommendation from an aesthetic nurse.”
“I feel that I've found my 'face doctor' and that is as valuable to me as the happiness I feel when I look in the mirror. Thanks too to Abi who was on hand during my recovery. She has a kind and caring nature and was on call the whole time during my recovery to give me the reassurance that I occasionally needed.”
“By far the best experience I have ever had with a doctor! Mrs Shah Desai is so professional, knowledgable and thorough with her approach and at the same time so kind, warm and friendly. I highly recommend her for any kind of surgery in the eye area.... I had a very fast and smooth recovery and I am so pleased with the results!”
“I've had very heavy set eyes for the last 10 years that's aged me and decided that I now wanted to have treatment to help this problem. At consultation with Sabrina I felt confedent about suggested treatment for me. I had Blepharoplasty which was almost pain free and am so happy with my results.”
