Treatment for Sunken and Hollow Eyes?

Shaha,
Fat Grafting is likely the best option for you. The synthetic products are also a possibility, however, I feel you will get the most natural result with your own fat. Just make sure you go to someone with extensive experience with fat grafting. Good luck

What makes an upper eyelid look youthful is a natural transition from the eyebrow to the last line.  this region, in the most pleasing eyelids, have some volume and contour.  An aged or deformed eyelid has the appearance of being sunken and hollow.  A high crease of the lid makes this look even worse.  Fat transfer, fat injection or fat grafting (all the same description) is an excellent procedure to blend this area.  This is minimally invasive and very reliable.  This is one of the most common procedures I perform here in Southern California.

Fat transfer is a procedure where fat is lipo-suctioned out of your thigh area then processed to be used in other areas.  Many patients use this fat to inject to their nasolabial folds, however, it may also be used to soften the appearance of hollow or sunken eyes.  Fat is not normally used in the upper lids, because the skin is too thin.  You should speak to your surgeon to see if you are a candidate for this procedure.

Facial fat transfer in experienced hands can be very safe and predictable for sunken eyes, deficient cheeks, asymmetry, and many other perceived undesirable traits of the face.  Fat transfer can be performed to both the upper eye socket and lower eye socket (or rim of the eye). The amount of voume ranges from 2 cc to 4 cc in the upper socket and often 3 cc to 5 cc in the lower socket.  Be sure to see someone with experience in facial fat transfer.  

You can use fillers to achieve the goal that you are looking for or fat transfer by an experienced surgeon who will not leave your eyelids with the bumpy lumps. It is extremely important to go with a surgeon who is board certified with the experience for you're needs. 

Fat transfer is a wonderful way to naturally and beautifully restore lost facial volume. Although there are numerous options to revolumize, fat transfer has some major advantages: it is the longest lasting option to restore volume in the face, functioning essentially as native facial fat once it is transferred; it is your own fat being used, thus is 100% biocompatible; there is an abundant amount available on almost everybody, so there are no limitations to getting the volume you need and achieving full correction; fat is one of our best sources for stem cells, called adipocyte derived stem cells, which yield additional benefits due to the growth factors contained and their effects collateral tissue growth that extends well beyond just the zone of transferred fat, helping contribute to a global improvement in the facial aesthetic.
An extensive amount of planning goes into the fat transfer process, with a comprehensive look at the balance and proportion of the face being blended with the aging changes and anatomy of each individual patient.
The procedure itself is performed utilizing local anesthesia with or without sedation. Fat can be acquired from numerous sites, but choosing a site is usually best planned to help contour the body in the process, thus the abdomen, thighs, and waist are commonly utilized. 
After the fat is acquired, it is processed and prepared into micro- and/or nanofat, which have different properties and are chosen based on the desired areas to be treated. Transfer is then performed with blunt tipped cannulas, as opposed to needles. Different providers will likely have different processing protocols, but I prefer to maximize the stem cell content of my fat, further magnifying it’s benefit. This is a time-consuming and intricate process, thus some people take shortcuts, but the long-term benefits are well worth the extra effort in the preparation process. I also utilize other regenerative medicine modalities, such as platelet rich plasma, to improve the outcome from the fat transfer and expedite the recovery time.
Recovery from fat transfer includes swelling and some firmness that is subtle and can last several weeks to months after the procedure. The transferred fat establishes a blood supply in its new location, a very favorable process which contributes to that inflammation and swelling. 
It is key that the physician performing the fat transfer is well-versed in panfacial volumization, allowing an equal balance and harmony to be created and maintained in the face. Fat should not just be utilized in large volumes in a few spots, but instead utilized in strategic volumes over multiple areas of the aging face.
Overall, fat transfer provides an incredible option to restore volume that is very natural, long lasting and has the added benefit of a healthy dose of stem cells to rejuvenate aging tissues. 
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

This is difficult to answer with out any photos or a physical exam but yes, we can transfer fat to the upper orbital rim. This is not so much the upper lid as it is the orbital rim/brow junction that makes the largest difference. The actual lid skin of the upper and lower lids is too thin to accept fat without significant issues. Laser treatments may also be an option depending on your exact issue. You are young so be careful with any aggressive treatments because these can all have side effects. You are doing to right thing, research many topics and see what you feel will give you the best results.Hope this helps,Best of luck,DrC

Thank you so much for your question. The term fat injection generally refers to fat grafting surgery as the fat micrografts are typically injected with a cannula. With structural fat grafting, small amounts of fat are introduced as micrografts and new blood vessel growth allows it to persist indefinitely. Fat would not be injected into the upper eyelid itself, but can add volume to the brow-eyelid junction.  I would recommend a consultation with a Board Certified Fellowship Trained Facial Plastic Surgery Specialist.All my best, Dr. Elizabeth."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Fat grafting
can be very helpful for treating sunken hollow eyes, whether from genetics, trauma,
or previous surgery. It can be done with a fine cannula and should not require
surgery, but often more than one treatment is necessary because it is important
to not add too much, and generally there is about 50% retention (50% of the
added volume is lost within 4 to 6 weeks). What remains after that time should
be relatively permanent. This may be a good option for you. Best wishes.

Although there are a variety of opinions on this topic, my preference is for fillers here.  They are smooth, can be reversed if you don't like them, and are a little more predictable, results-wise,  than fat or open composite fat grafting.  

The optimal treatment
non-surgically is a hyaluronic acid filler in the infrabrow hollow area done
very discreetly. It is important not to over correct. If done as an operative
procedure, it can be done with autologous fat by a Board Certified Plastic
Surgeon with expertise in this area.