This, unfortunately, happens a lot. It most commonly occurs when an ENT or a Facial Plastic Surgeon or General Plastic Surgeon does a Blepharoplasty but doesn’t notice that the patient has ptosis. The patient winds up with a hollow upper eyelid appearance, almost skeletonized. The eyelids will still be droopy, but there won’t be as much skin. This ironically gives off a very aged appearance. This can be addressed by doing a ptosis repair to lift the eyelid or using Upneeq to lift the eyelid temporarily.