Orbital Fat Loss - What Can Be Done? I'm 49, my Eyes Look Much Older. (photo)

You have upper eyelid ptosis (droopy) which causes your eyebrow to be lifted in order to assist lifting the droopy upper eyelids. That causes the upper eyelid area to be stretched and unveil the hollowness that is present with aging. So, the main treatment would be upper eyelid ptosis surgery.  Filler or fat injection can be injected into the brow/upper eyelid area if necessary but that would definitely be secondary. See an oculoplastic surgeon.

I agree with trial of filler which is reversible and then if you like the effect .proceeding to fat grafting. However with micrcannulas and experience the results from fat grafting are very reliable and. Softer and more even than fillers in my hand. The key is to not over correct. Fillers or fat can always besupplemented