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You do not have festoons. Judging from your photo, you may have a very slight bulge of the central and lateral fat pockets. To eliminate the excess fat you can have surgery to excised the fat, but my recommendation would be the VirtueRF Exact (radiofrequency) needle to melt the fat if it needs removal. This is very successful, when fat is the problem. With your photos, its hard to tell.Also, "fillers" just below the fat would be in the tear trough, and this would hide the dark shadow which accentuates the bulge. The fillers would be my choice for the first procedure as it is reversible and only takes a few minutes. Plus, there is usually no recovery needed. Of course, a consultation with a plastic surgeon would be necessary for a definitive answer.
Good afternoon! A fat transfer would be a great option: harvesting your own fat from thigh or abdomen and replacing the lost fat/volume in the infraorbital area. I would be extremely cautious of using filler that close to the orbit personally
You have a condition called Blefaroptosis which means the muscle responsible for elevating your upper eyelid, is weak. So you need the re-insertion of the muscle. That is not just skin resection. Actually you may not need skin resection. Look for a PS or Ophthalmologist who is specialist on...
It appears that very conservative blepharoplasty on healthy eyelid may expose more of the fold and create better symmetry. However, this is a very subtle surgery and should be discussed with a board certified plastic or Oculoplastic surgeon familiar with ptosis repair and eyelid surgery. Good luck.
