The lower eyelid and upper midface area is difficult to assess entry. There are a lot of variables to take into consideration. Fundamentally facial aesthetics are based on the skeletal structure. Attempting soft tissue solutions to treat problems based on skeletal structure, comes with its set of potential issues. There are lots of treatment options, but all of them have a potential drawbacks. Different providers may have different recommendations. The treatment for this include restoration of the midface, using fillers, fat grafting, a midface lift, placement of implants, or removing fat from the lower eyelid with a lower eyelid blepharoplasty. Each treatment option has some advantages and disadvantages. Above all look for providers who have an excellent track record with a quality collection of before, and after pictures of previous patients who had similar characteristics. Finding the right provider may require having multiple consultations. Best, Mats Hagstrom MD