Mini Neck Lift and 'Pinch' Bleph For Me?? (photo)

You appear to be a good candidate for a lower face/neck lift which can be done all under local anesthesia with less complications, swelling and bruising.  I would recommend a jessner's + 35%TCA chem peel as well for the face and especially around the eyes rather than a pinch bleph. Sincerely,David Hansen,MD

  It appears that most of the doctors who replied think that you look very good for your age and I certainly agree with this.  Certainly, one option is to do nothing and to realize that you look far more youthful than most others your age.  But, if you are motivated to proceed, unlike several others who replied, I have no problems with either one of your suggestions.  Certainly, there are those who might suggest eyelid resurfacing with laser or with chemical peeling instead of a pinch bleph and this is a viable alternative.  But I don't think that under the eye fillers will give you the results that you are seeking.  Good luck!

Your photos do not show obvious signs of aging requiring surgery, however, a full evaluation by a facial plastic surgeon would be the best way to determine which options may be right for you.  Both surgical and non-surgical options should be considered as well as a skin evaluation to assess for the best way to improve hollowing and fine lines around the lower lids.

Pinch blepharoplasty and neck lift vs full facelift is a common question. The pinch blepharoplastyay be indicated vs. a peel if u have excess skin. The neck lift may require a full lift if u have jowling with your chin down. 

Although an examination would be definitive in the decision making process, your photos don't show indications which require surgery. An upper lid pinch Bleph and a neck lift won't be very beneficial without the appropriate aging changes.  I would recommend having a consultation with a Facial Plastic Surgeon and discussing your concerns.