Would I benefit from an orbital rim implant? (photos)

I truly question if there are "fast metabolizers" of filler.  More often than not, this turns out to be inadequate or poorly placed fillers.  The surgeries do have side effects.  For cosmetic purposes the fillers have largely replaced tear trough implants except for post blepharoplasty reconstruction.  When there is a reconstructive need, the risks and expense of orbital rim/vertical mid face lift surgery is certainly warranted.  What strikes me when I look at your photos is superior orbital atrophy and the relative inferior scleral show from low placed lower eyelids.  This makes your personal situation different from many others.

Since injectable fillers do not last the only permanent solution for your under eye hollows would be orbital rim implants. With your natural lower lid retraction and increased scleral show, placement through any type of eyelid incision must be done very carefully to avoid aggravating your lower eyelid position.