Based on the photo you provided, it appears that there's no need for an external incision under your lashes. In fact, you might not need any incisions at all. Of course, it's sort of a glamour shot and you're smiling somewhat so it's hard to say for sure.
You appear to have hollowness under your eyes. This can be corrected either with fat transfer surgery or Restylane injections. Whatever you do, do not have any fat removed under your eyes (you don't appear to have any!)
I would need to examine you in person to know for sure if this preliminary evaluation is accurate.




