Orbital sunken eyes are usually a characteristic of Caucasians. East Asians usually have thicker eyelid fat and appear plump and bloated. Therefore, common orbital sunken eyes may be caused by trauma or complications after eye surgery. Judging from the schematic diagram attached to the question, it may be that I want to ask the latter related questions.

Upper eyelid orbital depression is a more troublesome complication after double eyelid surgery. It is often caused by too much fat removal in the orbital septum, too much removal of the orbicularis oculi muscle in the orbit, and excessive surgical trauma. Caused by adhesion between septum and upper eyelid skin. Some people blindly pursue the so-called "European eyes". In the book, too much fat is removed from the upper eyelid orbital septum, resulting in sunken upper eyelid area, difficulty in opening eyes, dull eyes, and sometimes stubborn triple eyelid deformity that is difficult to correct. In this case, it is generally necessary to wait 6 to 12 months after the operation for the scar to soften before proceeding. First, the adhesions must be fully loosened, and then the orbicularis oculi muscle in the orbit can be moved down to fill, or the fat from the lower eyelid bags can be used for filling. Body fat can also be aspirated for fat injection filling. In severe cases, autologous fascial tissue can even be taken. Perform upper eyelid orbital filling surgery.

For the sunken appearance of secondary orbital contents caused by some diseases, in principle, the diagnosis and cause must first be made clear, and the primary disease treated. For example, if any section of the pathway from the sympathetic nerve center to the eye is compressed or damaged by a lesion, it may cause miosis, enophthalmos on the affected side, ptosis, and little or no sweating on the affected side of the face, which is called cholestasis. Nasal syndrome. When this happens, we must first characterize the location of the primary lesion, and then treat the cause. For example, anti-infective treatment can be given for inflammation, and chemotherapy, radiotherapy, surgery, etc. can be given for tumors. For another example, if patients with head and face trauma experience symptoms such as enophthalmos and diplopia, it is usually caused by orbital fractures. Surgery is usually required to reduce the fracture to relieve symptoms and reduce functional damage. Cosmetic surgery can be performed later to improve the appearance. .