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A-Frame Deformity

A-frame deformity correction is a popular request at FaceRestoration in both our Harley Street and Cambridge locations. The name comes from the A-shaped appearance of the upper eyelid framing the eye, and hollowing of the eyelid and eye socket. This can make you look much older than you are.

We recognise that this appearance can be an unwanted change and are able to provide you with gentle rejuvenation and restoration of the eyelid area, improving the tired, ‘skeletalised’ appearance.



As we age, our skin loses collagen, hydration, elasticity and support, this deflation can also occur in the subcutaneous tissue and fat of the eyelid, as well as due to resorption of the bone of the eye socket. This makes the rim of the eye socket more visible. The resulting deep sulcus of the upper eyelid and hollow appearance above the eye can give a more aged, ‘skeletalised’ look.

The A-frame deformity can also be associated with a droopy eyelid or Ptosis where the upper lash line lies low over the clear window of the eye, the cornea. This droop can be more noticeable with age and also with the long-term use of contact lenses. It can also be caused by over-zealous blepharoplasty (surgery to the upper eyelid or lower eye lid bags) if fat has been removed, and by the use of certain eye drops which are used for the treatment of glaucoma. In 2009, our Consultant surgeons at FaceRestoration were the first to identify and later publish this in finding in patients, following the use of the glaucoma drop Bimatoprost.

Will I need surgery for A-frame deformity?

The A-frame deformity can be improved with non-surgical means using hyaluronic acid dermal filler or by surgical correction, with ptosis correction or blepharoplasty with nanofat grafting, depending on the underlying cause and the desired effect.Contact us at FaceRestoration today and we would be pleased to advise you.

What causes A-Frame Deformity?


There are many causes of a-frame deformity. The most common are listed below:

  • Brow Ptosis
  • Eyelid Ptosis
  • Blepharoplasty Surgery
  • Some glaucoma treatments

Are dermal fillers safe to use in A-Frame Deformity?


Yes. When treated by skilled medical professionals with enhanced expertise, dermal fillers are safe. Depending on the type of filler, you can expect the first treatment to last up to 2 years.

How we can help

Contact us for a consultation

Booking with us

Arrange a consultation with us using the button below at a time of your choosing. This may be held through video chat dependant on COVID guidelines at the time.

Your consultation

We will then discuss with you your symptoms and advise you on how best to proceed with helpful guidance on treatments through our expert knowledge and training.

Treatment after care

Once an appointment has been arranged, we will then begin treatment and support you along the process, including specialised aftercare.