Superior Sulcus Filler – by Leading Oculoplastic Surgeon, Dr Sabrina Shah-Desai, in London

What is Superior Sulcus 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 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.

How does the procedure work?

Dr Sabrina starts by preparing the area to be treated. Dermal fillers contain an anaesthetic called lidocaine, which reduces discomfort, therefore numbing cream is usually unnecessary. The hyaluronic acid-based filler is then injected into the Superior Sulcus 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 Superior Sulcus cavity has been eliminated and upper-eye 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

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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 renowned as one of London’s leading facial rejuvenation experts. She has researched any pioneered non-invasive and effective facial treatments using her detailed knowledge and surgical experience of the facial anatomy.

Dr Sabrina teaches surgeons and medical practitioners from all over the world in new ways to perform treatments such as Tear Trough Filler and Liquid Facelifts.


Treatment Cost

Prices are a guide; your doctor will calculate total costs during consultation
Superior Sulcus Filler £600

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