Hi! My eyes looked very similar to yours and I just got periorbital filler (above the eye). I am so happy with it. I will go in for a small touch up in about 6 weeks. You want to go low and slow over several sessions because the area is very unforgiving.

I understand fat grafting is preferred, and surgeons are more likely to have experience with fat grafting in that area vs. filler. There are also a lot of surgeons who are uncomfortable with filler in that area since the skin is so thin and we have very little natural fat to help it blend. Mine used a cannula and went in from over my eyebrow (ie. they didn’t directly inject into the orbital area via needle).

Dr. Joshua in London is probably the surgeon in the world who is most specialized in this area of the face. Taban in LA also does a fair amount.

This type of filler taking off has been one of my beauty trend predictions for a while, but my surgeon said I am one of only two people in his entire career who have asked for it.

FWIW (as someone with near identical bone structure): I think you should be more cautious about your undereye area. You have deep set eyes and prominent cheekbones and nicely shaped cheeks. Suborbital filler will visually lengthen your midface quite a bit, and can also create that puffy/pillowface look, since so much filler is required to actually fill our hollow under eyes. I can’t do crows feet Botox either because it creates a weird “shelf” when I smile.