Would tear trough filler or lower blepharoplasty be best for my eyes? (photo)

From the submitted photos a lower blepharoplasty is not needed. You can consider treatments like PRP to help with contours and keeping the area youthful. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Both tear trough fillers and lower blepharoplasty are popular options for addressing concerns in the under-eye area, each with its own benefits and considerations.

Tear Trough Fillers:

Benefits: Non-surgical, minimal downtime, and immediate results.
Ideal For: Mild to moderate volume loss and dark circles caused by hollowness.
Considerations: Temporary results (typically lasting 6-18 months), potential for swelling or bruising, and requires an experienced injector to avoid complications.
Lower Blepharoplasty:

Benefits: Surgical approach that can provide more dramatic and long-lasting results.
Ideal For: Excess skin, significant under-eye bags, or when structural changes are needed.
Considerations: Longer recovery time, higher cost, and involves surgical risks.
Given your age and description of the under-eye area being more visible, tear trough fillers might be a good initial option if you are looking for a less invasive approach with quicker recovery. However, if you have significant skin laxity or under-eye bags, a lower blepharoplasty might provide more comprehensive results.

Ultimately, a consultation with a specialist will help determine the best treatment based on your specific anatomy and aesthetic goals.

I would recommend starting with PRP/PRF for your under-eyes, as it can help with rejuvenation and skin quality. However, an in-person evaluation is essential to assess the actual volume loss before deciding on the best approach. Based on the picture, I wouldn’t suggest either treatment just yet, as a proper assessment in person will provide a clearer understanding of what’s needed for the best results.