Trying to decide between the Madonna lift or the blepharoplasty. Which one would give me the best results? (Photo)

Hello. The lower eyelid is a complex area that often leads to patients  thinking they need surgery to correct something they see. For dark circles, at your age, surgery is not the answer. The best approach is fillers to lessen the tear trough and camouflage the dark circles. Surgery of the lower eyelid would do little, if anything, to correct the dark circles.Good luck.

   First, you are much too young to be considering surgery at this point. You have a combination of two factors causing the discoloration below your eyes. The first is your natural somewhat olive skin tone and the second is the visibility of blood vessels just beneath the thin skin of the eyelid. Lack of sleep, stress and a host of other factors add to vascular congestion below the eye and darken the look.  Sun exposure is also a problem and should be avoided with sun screens.    There are two solutions and one which I favor......First you can have conservative placement of a filler to hopefully cover and disguise the vascular congestion. However this is expensive and will need to be repeated at least 3 times a year. There are also concerns with long term use stretching the thin skin and occasional black and blue, and misplacement of filler etc. etc. etc.......The second approach which I favor in a young person like yourself is simple camouflage with make-up....cheap, easy, and safe. Perhaps in ten years when excess skin becomes a problem you can consider a surgical blepharoplasty