Is my issue malar bags? Can my eye bags and tired look be resolved? I'm 50 and feel happy but look so sad and tired (Photo)

Your facelift was ineffective in terms of removing excess skin. You would benefit from a repeat facelift and browlift. The browlift should be in front of the hairline to decrease the height of your brow and lower the hairline to make you look younger. Also, the skin around your orbits need to be tightened and this can be done through a lower blepharoplasty. You would also benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Hello @wollemi, thanks for you question! Looking more in detail at the photo you send us, the treatment that will give you the best results is a blepharoplasty of upper and lower eyelids:

Blepharoplasty, more commonly known as eyelid surgery, is a procedure that removes excess skin or fat around the eyes. After surgery, the patient's eyes will open wider, making them appear more alert and youthful. The surgeon may perform the surgery on the upper eyelids only or on both the upper and lower eyelids. Also, is very likely that you will also be recommended to have an eyebrow Pexy, which will make your look more attractive and relaxed. It aims to elevate the eyebrows that due to the passage of time, the effect of gravity and muscle action have been losing their natural position, giving the face a tired, aged and sad appearance. It is important that you have a consultation with a board certified specialist to determine a surgical plan according to your needs. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)