Pouches in the corner of the upper eye lid. Treatment options? (Photo)

You are a wonderful candidate for upper blepharoplasty. I believe in a conservative approach--too much fat should not be taken out to prevent a hollowed out look. There really isn't any non surgical solution, however, upper blepharoplasty is very straightforward and can be done under a local anesthetic.I hope that helps.Best wishes,-Dr. Asaria

Hello, thank you for your photos. I am glad you are looking for non-surgical options. At this time, you do not look medically significant for an upper lid blepharoplasty, and I would not recommend surgery at this time, as smoking can lead to complications.
I recommend two non-surgical considerations for both your (1) upper eyelids, and your (2) jowls.
1) Botox or Xeomin injections to lift your brows and thus upper eyelid tissue.
2) Cheek filler (such as Radiesse or Juvederm Voluma) which will in turn lift your minor jowls.  If your jowls are moderate, you might benefit from additional filler in that area.
If you consider future removal of your upper lid fat pads / tissue, you could consider cosmetic surgery, after you have quit smoking.
I recommend you visit a local board certified oculofacial injector. 
Best, Kristin Tarbet, MD, FACS

Thanks for sending in your photos! It is quite difficult to see from the images, but from your description you have excess skin and herniated fat in the upper lids. This is a common finding, and may progress over time. Botox to the forehead may lift the brows and can hide the appearance, but you could also consider surgery to remove the excess skin and fat. Upper blepharoplasty is usually a simple procedure that is carried out under local anaesthetic as a day case. Good luck!