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

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and bespoke plan I would recommend consulting with your plastic surgeon.
Blepharoplasty addresses prominent tear trough ligament and herniated fat or redundant skin , while filler usually addresses hollowness. In your case you don't seem to have either. both options can have unintended consequences or potential complications and little benefit in your case. If you have concerns about the skin quality etc or you want to be proactive I would encourage you to go for much less invasive options like a good skin care routine or lasers etc.I hope this helps, best of luck!

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.

Looking at your photos, I don't see any need for a surgical intervention. Dermal fillers under the eyes can have unwanted side effects such as visible lumps, prolonged swelling and discoloration. I like to use PRP based treatments. The AutoCorre under eye treatment uses a gel created with your own plasma with embedded platelet growth factors to naturally rejuvenate the skin collagen and fat pads in this area. The other alternative is an autologous fat transfer.

First, thank you for including your photos. Under eye fillers address hollowness under the eyes. In your case, I'm not seeing that. I believe you may be better off starting with minimally invasive techniques to tighten the skin under the eyes with modalities like IPL and good home products and routine, which can be addressed by your plastic surgeon and their team.
There are certainly cases where we would recommend a blepharoplasty for a young individuals. It depends on what you are trying to accomplish. But overall, most young individuals below 40 try first collagen stimulating procedures with minimal injections of hyaluronic acid fillers.

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.

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.