Lower blepharoplasty - which procedure would be best for my tired looking eyes? (Photos)

Hi Jamos in Sydney!Very difficult to judge from photos, but it seems that you have lower lid puffs, under eye dark circles at the junction of the lid and the cheek, a hollow along the inferior orbital rim--called the tear trough--and a few lower eyelid wrinkles.
Most surgeons address the lower lid fat excesses by removing or repositioning the fat. The lower lid skin looseness and crepiness can be addressed with a skin pinch, a chemical peel, or a resurfacing laser. The latter two procedures can address the darkness more effectively than a skin pinch.The tear trough hollow is either treated by adding fat taken using a liposculptural approach--taking fat with liposuction from another area on the body, processing it and then injecting it directly to the area where it is most needed.
The best approach to this is the one that your surgeon is most familiar with and get the best most consistent results from. Every one of the above mentioned procedures enjoys success in the hands of a competent and experienced surgeon. Look at their results in patients that look like you--that may be the best means of making a decision.
Good luck!

Thank you for your inquiry! We would love to meet and discuss your concerns! A blepharoplasty will remove skin laxity and fat pad removal. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Correction of lower eyelid/cheek deformity would be best addressed with a combination of lower transconjunctival blepharoplasty ( to correct tear trough and bags) and periorbital volume augmentation with fat grafts to compensate for volume loss in this area. In person consultation with a board certified plastic surgeon familiar with this procedure is recommended. Good luck.

Your eyebrows are too low and it looks like you are frowning. You will need a brow lift to correct this. The incision can be done in the frontal hairline or through the scalp itself, depending on how much excess forehead skin you have. This would help your eyelids and make you look less tired.

Best Wishes,

Gary Horndeski, M.D.

From the photos, there appears to be significant volume deficit in the cheeks. And, since the upper cheeks are a major support for the under-eyes, when there is volume volume deficit in the cheeks, under-eye sagging and bags appear, and there is also deepening of the smile lines below.
So... before jumping into expensive, aggressive surgery, fat repositioning, etc. and all the downtime and potential for complications this may engender, you may wish to consider consulting with an experienced, board certified cosmetic dermatologist to explore the use of a robust HA volumizing filler cheek augmentation. Treatiment in experit hands should take about ten or fifteen minutes, with immediate results and with little to no significant downtime. I perform this all the time for my patients and typically hear an immediate "Wow! when they look in the mirror. Hope this helps and best of luck.