I Am Considering a Cheek Lift/lower Eyelids Lift to Correct the Hollowness and Dark Shadows Under my Eyes? (photo)

I generally cannot advise primary mid face surgery for the type of issue you appear to have in the photo.  Perhaps your surgeon will produce an amazing result.  However, there are many unhappy mid face surgery patients.  Fillers are a much safer way to accomplish improvement in this area.  The challenge is the thin skin.  Treatment here is fussy and often requires an adjustment.  However there is no question that it is possible to accomplish results with the fillers that can never be accomplished with surgery.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Without photos, you'll get many differing opinions on different possibilities. Having the photos will certainly help taper down some suggestions.

Whenever a lower eyelid skin incision is made, there is a possibility of lower lid retraction. However, in the hands of a skilled surgeon, with a good cheek lift, tightening of the eyelid attachments, these risks are minimized.

Having said that, in my practice, I haven't done a  cheek lift in years. One reason is that even in the best of hands, the longevity of a cheek lift is questionable.  Secondly,  fat transfer  has allowed me to add volume to the cheek, as well as the cheek-lid junction in a much safer fashion that, in my opinion, rejuvenates the face more naturally than a cheek lift can.

So, having not seen your photos, I would say that my preferred techniques these days is transconjunctival fat excision [sometimes re-positioning, with a small pinch skin excision, if needed] with fat transfer to the cheeks.

Remember, there are a lot of different techniques, and different surgeons will have different comfort levels and expertise in these techniques. You have to find one that you feel comfortable with.

Good luck

Incision below the lashes, called infraciliary incision, has a definite risk of pulling the lower eyelids down.  If possible, the transconjuctival approach is safer.  Fillers are another option which are safe if used conservatively.  Consider seeing an oculoplastic surgeon.

A cheeklift done thru the lower lid can be done but I need to see photos to tell if that is what you need.