What if Anything, Can I Do About the Fat Pockets Above my Eyes? (photo)

If its the inside corner, then fat may be the issue, if its the outside corner, it likely is the lacrimal [tear] gland that is prolapsing for the orbit [eye socket].

This is not unsual in African-American patients, as their orbits are a bit shallower and their eyes are often a bit more prominent.

This can be addressed surgically but resuspending the gland. Although there are many experience surgeons that can provide this expertise, ASOPRS trained Oculoplastics surgeons may have the most experience.

You can find one close to you on the ASOPRS dot org website.

Fat pockets within the upper eyelids can be reduced by simply placing incisions in the crease of each eye and surgically decreasing the amount present.  When you have fullness on the outer part of the eyelid, it may represent a droopy lacrimal gland (the gland that produces tears).  This can be lifted up and sutured down during the same procedure.  This procedure is normally done under local anesthesia, but can be performed under general anesthesia as well.  Fine sutures are used to close the incisions.  The procedure takes about an hour, and you are able to go home the same day.  There is no age criterion - the anatomy dictates what needs to be done, but I would make a consultation with a board certified facial plastic, plastic, or oculoplastic surgeon to discuss all of your options. Good luck.