Is better to use upper eyelid fillers that last 1 year or fillers that can last 5 years? How much filler do I need?

Dear ForSands:     Thank you for your questions and your photographs. You have obviously done your research. The Orbit can be a dangerous and difficult area for filler. Increased risk of complications include stroke and blindness. I recommend consultation with a board certified plastic surgeon who is an expert injector. I also would use an HA filler that could be dissolved if needed. I would also ask about a rescue kit and any prior problems. I would inquire as to a contingency plan with an Ophthalmologist should there be an issue.. I would never use a long lasting filler in the orbit other than fat. I hope this is helpful and wish you good luck with all your cosmetic treatments whatever you decide! Hope this helps!

Always use a temporary HA filler initially in an area such as this.  In general, a delicate area like this should be treated with these types of fillers, even going forward, as reversibility is key if the result is not desirable.  A microcannula should be used for injection.