25 year old with large and hollow upper eyelids (Photo)

The most effective predictable treatment for upper eyelid hollowness is upper eyelid/brow filler injection. See following video and website link. Expertise is important. Another option is fat injection but less predictable.

Upper eyelid hollowness is a dramatically underappreciated, yet incredibly important component of aging in the eyelids. With normal aging, our upper eyelid fat pads tend to retract and expose this upper lid hollowness, those with “deep set eyes“ are especially prone, and unfortunately old-school upper eyelid surgery that is overly subtractive can artificially create this hollowness early, actually looking worse than it did before surgery - the before and after photo in the link below resulted from overly subtractive upper eyelid surgery with another surgeon, and you can see the results after revolumization of the upper lids. Correcting this hollowness can happen with fat or filler injections into very specific planes of the upper eyelid, or transposing and rearranging the upper eyelid fat pads to provide fullness, as you see in this surgeon’s view video, borrowing the excess fat to move into the areas lacking fullness!
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Thanks for your photos and questions
I agree that fillers would be the best way to start.  With the eyes, you want to be conservative because although fillers are very safe products, you don't want to inject too much or have poor distribution of the product.  You may need several rounds of treatment until you get the result you're looking for.  Fat is another option, but you should be sure that you like the appearance with something temporary before moving to something permanent.
Best wishes,
Dr. Chang

Based on your photos you have a relatively "empty" space at the orbital bone entry.  Sub-brow fillers can help, but only to a degree, if you do too much you can look puffy.  I suggest conservative filler just along and slightly below the brow bone.  If you decide to proceed, definitely see someone who has plenty of experience with this advanced technique and ask to see before and after photos from other clients. Fat grafting is another option but start with filler before considering a permanent procedure.

hello and thank you for the question! you seem to have some volume depletion The great news is you can add in volume with fillers! You can also use fat, however we can predict what a hyaluronic acid filler will react. be sure to connect with a board certified surgeon for optimal results and good luck!

Thank you for your question. The hollowness in the upper eye does give off an older look, and there are various techniques you can use to correct this. I would recommend you get a semi-permanent filler, such as a hyaluronic acid filler. You could also consider micro-fat transfer or a blepharoplasty. Fat grafting is also an option but I suggest you do this once you try a less permanent solution and are sure of what you want. Good luck!

Okay. First the multiple folds. I would recommend you get an upper blepharoplasty to remove slight excess of your skin, make a more prominent single fold. This would solve the multiple folds issue. And for the sunkening with less fat, free fat grafting would be a great option. Thank you.

It's possible to help patients with your concerns in my experience with simple office injectable treatments.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Looking at your photos is that you would benefit from volume. Two methods to give you volume would be using off-the-shelf fillers or your own fat with micro fat grafting. An in person examination and evaluation would be needed prior to making these decisions. Good luck.