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CLAIM YOUR PROFILEIt does seem that you have ptosis of your midface on the left side. Possibly due to chronic pulling or sleeping on that side or a past trauma, etc... A midface lift on the left side would help improve the volume loss of the left cheek and lessen the subsequent nasolabial fold created by the midface descent. This may help improve your lid cheek junction transition by resuspending your lower eyelid at the same time.
Oculoplastic Surgeon, Board Certified in Ophthalmology
If you truly have a prominent fat pad of your lower eyelid (difficult to tell from the photo), then the only solution is a lower blepharoplasty. Filler will not solve your problem and only look worse. However, it appears that you have both a fat pad (volume excess) and a tear trough (volume loss). In this case, I recommend lower blepharoplasty first, then 6 weeks or more later after the swelling has resolved, filler to the tear trough.
Oculoplastic Surgeon, Board Certified in Ophthalmology
I do appreciated some degree of crepiness of your lower eyelids. I also see the fullness, although mild, that you are talking about. An appropriate surgical candidate for a blepharoplasty has to do with the condition that is present rather than age. It is actually best to have surgery earlier in life, since it is often less complicated, which means less down time, less surgical risk, and less money! Also you are able to enjoy the results longer during the prime of your life. The duration of results for a lower blepharoplasty is about 25 years.
Oculoplastic Surgeon, Board Certified in Ophthalmology
If your eyelid margin (edge) is truly lower on one eyelid than the other, then you likely have eyelid ptosis (a weak eyelid muscle). This is corrected by tightening one or both of the eyelid muscles that raise your eyelid, which is called ptosis repair. You also may have some redundant eyelid skin (dermatochalasis), which can also be addressed by performing a blepharoplasty.
Oculoplastic Surgeon, Board Certified in Ophthalmology
While the photos are blurry, it does appear that you have some degree of volume loss in your tear trough. The volume loss component can be treated by hyaluronic acid fillers. If there is hyperpigmentation of the skin, this can be treated by topical creams, ex., hydroxyquinone and 2% Alpha Arbutin. It is most important to only see an ASOPRS certified oculofacial plastic surgeon because it the filler is not placed properly in your tear trough, it can result in blindness.
Oculoplastic Surgeon, Board Certified in Ophthalmology
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