Which Would Be Better in my Under-eye Hollow Situation: Orbital Rim Implants or a Fat Transfer? (photo)

Yes, well done orbital rim-suborbital cheek implants will resolve this issue forever, and in my opinion will be a good investment because of how much this feature bothers you and because you like the result with Radiesse, which is a good trial.  The only question is timing:  It may be worth allowing the Radiesse to dissipate before implant placement, OR perhaps the surgeon can irrigate it out or remove it at the time of implant placement to avoid an additive volumetric augmentation of the area if you have the surgery sooner than Radiesse resorbs.  My preference is for the Flowers suborbital silicone devices (Implantech) but porous polyethylene also works very well.

You are very attractive even with the under eye hollows.  So this raises the natural question of if you are suffering from body dysmorphic disorder (BDD).  This is a thought disorder where individuals focus on slight physical flaws.  There are social consequences of this persistent attention focus including spending many hours a day focused on the issue, avoiding social circumstances due to feels that others are staring at the feature or talking about the problem.  BDD is not treated with surgery or fillers even though you have an issue.  Psychotherapy is needed to provide insight into the thought disorder.  If you are not sure if you might have BDD tendencies, an assessment by a mental health professional is appropriate.  If you have BDD, what we have learned is that there is often a miscommunicaiton between the individual with BDD and the cosmetic surgeon which is often the cause of even more problems after a treatment or surgery.