Which treatment for my tired eyes and vertical forehead lines? (Photos)

I think a lot of what you are bothered by could be addressed with a browlift procedure - it would recontour your brow shape plus also lift/relieve some of the sagging you note of your skin laterally. If you're scared to jump straight to surgery, you could always try botox first and see if you like the result.

Your photographs are limited and does not show your forehead. You may benefit from a brow lift or extended brow lift. The brow lift will decrease the vertical height of the forehead and lift the eyebrows. The extended brow lift will extend down to the lower ear and pull up the corner of the eyes. I would need additional photographs to give a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Based on these very limited photos, it appears that lower blepharoplasty with canthoplasty would create improvement. Brow lift will help shaping brows and very likely improve overall appearance of your forehead. Unfortunately, your photos do not show enough for good analysis and proper recommendations. Good luck.

All the procedures you mentioned are viable options.
It’s possible to weaken muscle facial expression during a brow lift, especially and brow lift(compared to endoscopic).
By weakening the muscles, you’ll still have the ability to form facial expression, but weakening the muscles gives a semi permanent Botox type effect.
Some plastic surgeons have experienced with this and other others may not.It was a technique I learned from Dr. Bruce Connell back in the day.
I suggest you schedule a few in person consultations with plastic surgeons in your community.
Bring pictures of yourself to use as reference.
Ask each provider to open the portfolio and show you their collection of before and after pictures of previous patients who had similar characteristics for whatever procedure they recommend.
Provider selection is probably the most important variable.
Find the right provider may require having several consultations.
Best,
Mats Hagstrom MD