Follow-Up: I have hooding which may be caused by orbital fat loss. Does sulcus appear to be hollow? Can it be corrected?

Thanks for your question and for posting a photo. 
The hooding that you point out seems to be due to upper lid skin excess- known as dermatochalasis. This is commonly seen as one ages. The optimal treatment is an upper lid blepharoplasty which can remove excess skin, and is done quite easily in the office under local anesthesia. Fat can sometimes be removed as well, though I personally tend to avoid it unless necessary so as to not cause a hollowing out of the upper lid. Fillers or fat injection are sometimes offered as well to add volume to the upper lid in cases of hollowing. 
Seeing a board certified or board eligible plastic surgeon, facial plastic surgeon, or oculoplastic surgeon will allow a full evaluation. Being evaluated for ptosis and the integrity of the levator muscle- which lifts up your upper lid- is important prior to embarking on upper eyelid surgery. 
Best wishes, 
Rohit Jaiswal, MD   Plastic Surgeon 

Yes, it appears the main problem you have is upper eyelid hollowness with skin laxity due to deflation effect. See following link for examples of filler injection to treat the same problem. Skype consult available.

You have excess upper eyelid skin and volume deficiency in the sulcus above the upper lids.  The skin can easily be treated with an upper lid blepharoplasty and volume can be added along the orbital rim with fat grafting or injectable fillers.  Alternatively you could also tighten the skin with laser, thermi, microneedling.  Best Regards, Dr. Weiss

You do have a deep upper orbital sulcus on both sides with some excess skin.  An upper lid bleph to remove a crescent shaped area of skin from the upper lids with micro fat grafting of the upper orbital rim would look nice. 

Hi and thanks for your question.  You may have a lot going on with your eyes.  It's hard to tell without a profile view about the position of your globe (eyeballs).  Irrespective of this you do have excess upper eyelid skin which would benefit from an upper blepharoplasty.  Your upper eyelids do appear a bit hollow and upper blepharoplasty can help restore some volume if your surgeon does a very limited muscle excision.  Sometimes filler can also help but it's pretty risky in you because your so thin.  There wouldn't be much room for error and you would be a setup for lumps and bumps.  Hope this helps!

 The one limited photograph is very difficult to tell what's going on. It's impossible  to tell if there is ptosis present. Ptosis is repaired by oculoplastic surgeon.  A conservative skin only upper blepharoplasty can accomplish rejuvenating the upper eyelids. The excess skin does not cause orbital fat loss. For many examples of cosmetic blepharoplasty, please see the link and the video below

You do have very little orbital fat and do have some excess upper eyelid skin.  Filler won't correct this.  Simple excision of the excess skin will rid you of the hooding.

Thanks for your question. You appear to have ptosis. Tis can cause your sulcus too be deep. AS the muscle pulls back the crease becomes higher and the orbital fat becomes retracted with he muscle. You really need to see a fellowship trained Oculoplastoc surgeon for an in person exam. Simple testing with Neo-synepherine drops can determine if repairing the ptosis will help fill in the sulcus. I believe this is your major problem and fillers won't address that.

Thank you for your single photograph.  I think and in person examination is necessary but from your photo it is highly suggestive that you do have bilateral congenital lid ptosis.  I would suggest that you seek an ophthalmologic evaluation preferably with an oculoplastic surgeon who can advise you must accurately.  Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd