35, female, filler or lower bleph for these hollows/tear troughs? (Photos)

You are a great candidate for lower lid surgery with fat repositioning or fat grafting. This surgery utilizes an incision on the back of the lid and moves around your natural fat to fill the tear trough. Additional CO2 laser would help tighten the skin and improve fine line and wrinkles. Best to see an eyelid expert.

Hi lovesu. The main reason that you are starting to see tear troughs based on these photos is due to bone loss of the socket that holds the eye in. The goal with camouflaging the tear troughs is adding back some type of volume to the area where volume has been lost. This can be accomplished with either filler or fat grafting or possibly even a midface lift (can't tell because your photos are truncated). What is "better" is truly in the eye of the beholder- obviously filler injection doesn't involve "surgery", although many people are now noticing more and more the risks related to undereye filler. A surgeon will likely always tell you fat grafting is safer but you will have to do your due diligence with consultation. If you decide to go the filler route, I would make sure you are going to a very experienced injector.

Hello lovesu22. You are a better candidate for dermal fillers than blepharoplasty. This type of surgery works best for patients that have excess skin under the eyes. You can have surgery to remove some of the protruding fat but that would still leave you hollow, just smoother. Surgically, we do not recommend fat grafting under the eyes. With dermal fillers under the eyes (link below), you should be able to get good results from s skilled injector. best of luck.