Blepharoplasty to Tighten Fragile Cheeks Skin?

Jane,
I'd be very cautious about doing a lower eyelid lift for cheek skin wrinkling. Something about the story doesn't add up. Although you've had several reasons to explain the problem, without a photograph it is all the more complex to discuss your situation. Consider a few consultations with board certified plastic surgeons. You're too young to have someone jump into a blepharoplasty and learn a lesson. I would recomend several opinions in your area. They have great plastic surgeons in Florida.
Best WIshes,
DoctorMeade

Removing eyelid skin in an attempt to lift up and smooth out sagging or wrinkled cheek skin is a bad idea. It is more likely to cause lower lid retraction (pull down of the eyelids) than lift up of the cheeks. The cheeks are heavier and will win that tug of war 9 times out of 10!

Dear Jane,
It is difficult to determine what would be best for you without a proper examination. Several factors -- eye condition/dryness, position of the eyelids, eyelid laxity, shape of the cheeks and eyelid hollows, and degree of change you are looking for.
There are several approaches, limited skin excision (pinch bleph), full lower lid rejuvenation with fat transfer and canthal support, fat transfer only, treatment with laser or Thermage.

It really depends here how much skin we are talking about and how much wrinkles there are. It is unrealistic to think it can tighten the entire cheek area. But you can get an improvement for the lower eyelid area.
So it is difficult to tell you what you can achieve without a proper exam, especially with what you are describing.
Good luck.

The problem you are describing sounds like you may have festoons and not excess skin of the lower lid. Festooning is a problem that we see in an older population but, in someone with your medical history of steroid use anything is possible. Attempting to remove or elevate skin of the cheek using blepharoplasty techniques is a dangerous proposition. You will likely not really address the problem and can easily cause further damage to your eyelid.