Dear Cheonsadiana, The groove on your cheek is a malar groove and the trough under the inner corner of your eye is a tear trough. Transconjunctival fat removal will not improve the malar groove. Either filler or surgery to release the deep ligaments causing this groove will permanently improve both or filler can help for a year or so. The surgery can be performed transconjunctivally but need to do more that just remove fat which will make both worse.
Mark Codner, MD firstname.lastname@example.org
Transconjunctival surgery will not help the line you have marked in the photograph.
What you have marked is the mid cheek groove. It is not helped with transconjuncitval lower eyelid surgery. If fact, this surgery can make it worse. All you need is a small amount of filler to fill this groove. Never let anyone inject you with silicone oil. Do not buy product on line for this purpose. Accept treatment only form properly licensed surgeons using legitimate products.
Blepharoplasty for suspected tear trough?
Blepharoplasty for suspected tear trough? You have a malar groove not a tear trough. NO SURGERY! Small amounts of a filler like Restalyne or Belotero from an experienced injector.
Tear Trough Deformity
Your provided photo doesn't really show a tear trough deformity. It appears you have some swelling in the area. I call that area over your cheek bones the "sponge" of the face as they swell easily. It is possible the line above the arrow could be softened with some dermal filler, but I don't think surgery is the right answer for now. Sometimes fillers in these areas can worsen the swelling as well. I would proceed with caution.
Blepharoplasty in a 20 year old
From the photos, I do not think that you are a good candidate for blepharoplasty by any technique. You have no redundant skin and wrinkles that are treated by blepharoplasty.
Also, your tear trough is too low on your face to be improved by blepharoplasty.
If you want to have something done, I suggest having someone inject a small volume of hyaluronic filler into the troughs. I never inject more than 0.3 ml per side and be sure that the person injecting you if familiar with the technique.