Will a endoscopic mid face lift, fat transfer and lower eyelid skin pinch help me correct hollowing and crows feet? (photo)

Hello,
Thank you for your question. You are right on target with you assessment. Based on your photos, a mid-face lift is a great option (endoscopic or small temporal incision in hair without scope). This can be done wide awake using local anesthesia and oral medications to help you relax. Patients do incredibly well with this and it avoids the side effects of general anesthesia.
Fat grafting to eyes/temples and skin pinch can also all be done awake.
Mark G. Albert, M.D., F.A.C.S.New York, NY

I would recommend a lower eyelid blepharoplasty with fat grafting. This will provide volume to the area under the eyes and help redistribute where the volume/fullness should be. I personally recommend a normal facelift with normal incisions around the ear to optimize visualization and tissue tightening/re-suspension. Sometimes "minimally invasive" or "mini" techniques under-deliver results for patients unless performed by an incredibly experienced plastic surgeon.

I see what you are describing, but you don't look like a candidate for an endoscopic midface lift, and I would not advise a skin pinch for your lower eyelids based on the photograph provided. Your concerns can likely be improved significantly with just some fat transfer, but in-person evaluation will be very helpful in making the right diagnosis and plan for you.

Given the lack of anything to address with surgery, I recommend that you have a nice vacation and enjoy your youthful looks. There will come a time when such procedures are applicable, but no ethical Facial Plastic Surgeon should do anything at this time.

Give your minimal issues, the surgery you have described will profoundly harm you. Fat grafting is a terrible idea for this location whether it is nonofat, microfat, or whatever fancy name a surgeon wants to call it. Grafted fat is like injecting scar tissue. It gums up the wonderful plans that need to glide over each other. There is no such thing as "minimally invasive endoscopic mid face lift. The descriptor "minimal" is used to lull you into think that no harm will result from having the surgery. That is just not the case. The skin pinch will pull your eyelid down. When I look at you, I do wonder if you have had hyaluronic fillers in your cheek in the past. If that is the case, I would recommend removing those fillers and consider having a very precise filler treatment in the under eye circles. These are fussy services and often well meaning injectors use the the wrong filler product in this area. Restylane is the best product in my opinion. So-called smooth fillers are far too runny for this location.