When fillers have failed
and if you have adequate and overly generous fat pads, a lower lid blepharoplasty would be much more beneficial for you. They are usually done through the inside of the lid and do not make you look surprise in any way.
Lower kid Asian blepharoplasty
In the early 2000's when fillers arrived on the scene, we went through a period where we were filling every eyelid to avoid the complications of surgery. Of course, volume deficit was not the problem in most people and we pribably used fillers on too many people. We now have a healthy balance between surgery and fillers. In your case, you have some excess skin, some fat bulging, and something I see a lot in Asian lower eyelids, excess muscle under the eyelids. I did a blepharoplasty just like this this morning and I had to conservatively remove a strip of lower orbicularus muscle. About Asian eyelids, they are different but the differences in surgery are minimal and within the capabilities of most competent plastic and oculoplastic surgeons. You don't have to go to an Asian surgeon to get a good result. Besides, most of the differences in anatomy are in the upper eyelid, and the anatomy of the Asian lower eyelid is not much different than any other eyelids (with the exception of what I mentioned above)
It may be tempting to try fillers instead of undergoing surgery. However, I am not a fan of fillers for the lower lids. I would perform eyelid surgery to remove the excess fat which us causing the bags.
give a more dramatic and longer lasting result. It important to consult with a plastic
surgeon that is experienced in Asian blepharoplasty, because the anatomy of the
Asian eyelid differs from other races and it is important to preserve a “natural”
appearance after surgery.
Judging by your photos, I believe that upper and lower blepharoplasties would be a much better choice than fillers to the eyelids.
Lower blepharoplasty or fillers
It appears that you would be best served by a lower blepharoplasty with fat repositioning. Although fillers could make some improvement you would most likely achieve a better result with surgery. Of course, this depends on in office consultation.
Would I benefit more with a Blepharoplasty or fillers for my eyebags?
It is hard to give you a good recommendation without seeing you. It is certainly worth your while to get personal consultations from experienced eyelid surgeons.
Lower blepharoplasty vs fillers for lower eyelids
Some would benefit from fillers more and others would benefit from surgery more Fillers are good option to fill the hollow lower eyelid area but a better option for you maybe lower blepharoplasty with fat repositioning, where the existing "bags" or fat is repositioned to fill the hollow area underneath it.
Would I benefit more with a Blepharoplasty or fillers for my eyebags? (photos)
Generally speaking, fillers are temporary. Surgery tends to give longer
Looking at your picture, you have excess skin along with fat
pockets in your lower lids.
You are best served with a standard blepharoplasty with conservative skin excision to your upper eyelids, pending thorough clinical evaluation.
Blepharoplasty or Fillers
Thank you for your question. Looking at your pictures, you have both loos skin crinkling up under your eyes and you have baggy lower kids from fat herniation. Furthermore, you have a hollowing of your infra orbital rim. For your situation, I would recommend a blepharoplasty procedure where the excess lower lid skin is removed and the extra lower lid fat also removed, followed by using this eyelid fatty tissue to fill in your orbital rim depression. Fillers alone may correct the orbital rim depression, but will not solve the extra skin and fatty tissue.