Eyelid, undereye, and bleph vs brow lift - What procedure would get rid of undereye circles and asymmetry of eyes? (Photos)

In the photos that you shared,changes can be observed in all areas that make up the periorbital region. In your specific case; your lower eyelids, a herniation of the fat pads is observed, and a change in the ideal tilt position. There is also a marked lateral hooding and excess skin in the upper eyelid, which is more pronounced by the decrease in the position of the eyebrow! I would recommend a perioorbital rejuvenation. This would entail: a transconjunctval and external border blepharoplasty with lateral canthopexy to correct the tilt. A mico and nano fat graft, in order to correct the nasojugal fold (also known as the tear trough), an endoscopic browlift to correct the positon of the eyebrow and elevate the upper third of the face. Lifting the excess skin, making the incision/scar smaller when performing an upper blepharoplasty, which would also be ideal.

Thank you for your question. You have a herniation of the lower eyelid fat pads, a change in the ideal canthal tilt, marked lateral hooding, excess upper eyelid skin, and brow descent. In this case, the most effective surgical approach would involve a lower blepharoplasty to address the protruding fat pad combined with a canthoplasty to restore support and correct the altered eye shape. For the upper eyelid, a blepharoplasty would remove the redundant skin and improve the definition of the lid crease. However, given that a drop in eyebrow position causes the lateral hooding, upper blepharoplasty alone would not fully correct the heaviness. To address this, an internal brow lift could be performed concurrently through the same incision if the brow descent is mild; otherwise, an endoscopic brow lift would be more appropriate for a more pronounced lateral brow drop. A surgeon should evaluate you in person to pinpoint the exact cause of asymmetry and recommend the right combination.

From the submitted photos it appears you are a good candidate for both an upper and lower blepharoplasty. This would remove excess skin and refresh the eyes. An endoscopic brow lift would reposition the brow to complete the look. I've included a video I hope you find helpful.