Filler or fat transfer to upper eyelid?

Fat transfer for upper eyelid hollowness is not as precise or predictable as filler injection. Filler injection, although not permanent, can last a long time. Expertise in upper eyelid filler injection is important.

I would recommend starting with a filler like Restylane and if you are happy with your results then considering something more permanent like fat in the future. You may also be a good candidate for a skin tightening procedure like Thermage FLX which is FDA approved for treatment of the eyelid skin.

this would be impossible to answer without a photograph but if filling the upper eyelid were the way to correct your problem I would first recommend a temporary filler reversible filler like Restylane and if you did get the results you wanted then you might consider a permanent filler like fatI think there are very few doctors who could do this well with fat  so I would be very careful in my selection

Hello, 
If you are able to post a picture it helps in answering the questions.  Most of the time droopy upper eyelid the best option is surgical correction.  Please see a plastic surgeon for a evaluation and recommendation.  Hope that helps, Dr Violetta Mailyan.

Without seeing a picture it's tricky to advise, but I would likely recommend upper eyelid surgery for heaviness of the lid.  This procedure is relatively simple and patients tolerate it well.  Sometimes a browlift is also a nice option to lessen the weight of the upperlid skin and really open the eyes.  The incisions for a browlift are hidden in the hairbearing area of the scalp so there are no visible incisions.  
In order to get the best advise, I recommend scheduling a consultation appointment with a board certified facial plastic surgeon.  After having had an exam, your provider can better discuss treatment options.