Would under eye filler or blepharoplasty be a better option for my tired looking eyes? (Photo)

You appear to have significant bulging of the fat pads involving your lower eyelids. Depending on your examination, a transconjunctival lower eyelid blepharoplasty procedure may be considered for removing those fat pads without an external scar. Post-operatively, Morpheus8 treatments may be considered for achieving Less wrinkling of your under eye skin: only if it becomes more prominent. I hope this helps! Sincerely, Dr Joseph

There are a few options available to improve the under eye area. The best one depends on your goals for treatment. A lower blepharoplasty surgery would give permanent improvement but is the most aggressive. Fillers can provide improvement with no down time but the results are temporary. A third option is AccuTite which uses RF technology to improve and tighten skin. See a board certified plastic surgeon to learn more.