Blepharoplasty or tear trough implants? (photo)

Although your photos are helpful and exam by a board certified specialist with extensive experience in eyelid surgery is needed for the best opinion. Fillers and Fat transfer (long lasting) are excellent for most with tear trough depressions, so much so that they are now used far more often than implants. You have great questions - but perhaps the most important one is: how do I find the most experienced surgeon. See below link to assist you in this quest. #BestBlepharoplastySurgeon#TearTroughCorrection

Fillers are safe but temporary and probably are good place to start. The case can be made for lower lid blepharoplasty using the periorbital fat to fix the tear trough abnormality and add volume to the upper cheek.

Please don't wreck yourself with surgery.  That is exactly where you are headed.  Your desired after picture shows a minimal rhinoplasty result that can be achieved with minimal manipulation of the nose.  A septoplasty is not needed.  Do you need a septoplasty for breathing issue?  If that is the case, I recommend seeing a functional nasal surgeon for this procedure alone and not trying to get your health insurance to pay for a cosmetic surgery.  Inappropriate septoplasty has the potential to profoundly change the way the nose looks.

Regarding the under eye hollow, tear trough implants are essentially obsolete.  They have been effectively replaced with the hyaluronic acid filler Restylane.  Jevederm, Radiesse and grafted fat are not an appropriate products for the undereye area.  You appear to lack herniated orbital fat so you are not a candidate for an arcus marginalis release surgery.  I recommend that you actually stop researching so much on the internet and consider getting to actual consultations.  Please be careful out there.