Filler Under Eyes VS Lower Blepharoplasty? (photo)

Both fillers to the tear trough/cheek and lower lid blepharoplasty with fat repositioning are valid options. If taking 1-2 weeks off from work is not an option for you, then fillers are the way to go. Juvederm, Restylane, or Boletero can be used in this area. A combination of injection to the tear trough and the upper cheek would give you the best outcome.

A thorough physical examination (touch and feel) is essential to determine the  appropriate technique suited for each individual patient.  Poorly lit photos will generate a lot of bad advice.    Do not waste your time with fillers.  It is always better to do the best procedure that deals with the problem and get it right the first time.  

In skilled hands you could reasonably return to work in one week.  Full unrestricted activity is typically at three weeks.   Best wishes.  Knowledge is power.  Luis F. Villar MD FACS

Based on your photos, I think you would do best with a blepharoplasty.  It will give you a better result and ultimately be more cost effective.  Find a surgeon who will do a fat transferring technique which will transpose fat into your tear trough.  Hope this helps.  

 

Steven Covici, MD

Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids. Surgery will require about 7 days of downtime to recover from any swelling or bruising but will give you a long-term improvement in the lower eyelid bags. Filler, on the other hand, has minimal downtime (any bruising can be covered up immediately with makeup) but is temporary lasting from 6-12 months. Both options will work well for you. I hope this information is helpful.Stephen Weber MD, FACS

I do not see much in the way of wrinkles under your eyes, but you do have some protrusion of fat which is causing the puffiness and then an area of depression underneath it.  Your options would be to have surgery to deal with the fat or to use a filler, like Restylane, to treat the area of depression and improve the area.  The improvement from the Restylane would be temporary.