As you mentioned that you have had this look for a long time it is likely part of your genetic makeup. It can sometimes occur with aging and weight loss as well. Fillers and fat grafting are two options to improve the contour. Though you mentioned you don't prefer fillers they may be the best...
Hello sgsantos313,
What an important and valuable question you've posed! As we age and begin to lose collagen and elastin, one of the most noticeable areas to change are our eyelids. The skin around the eyes is much thinner than elsewhere on the face. Because of that, and thanks to gravity,...
Festoons are notoriously difficult to treat. You may have improvement with Morpheus8 treatments. This will address overall skin tone and texture. The lower blepharoplasty will address the under eye bags.