What are my permanent options to correct my eyelids and achieve a less tired look?

A trans-conjunctival lower blepharoplasty accomplishes removal of the fat bags that are creating the puffy look in the lower lids. The incisions are completely located on the inside of the eyelid, and there are no external incisions.

sadly, there is no permanent way to fix facial aging, but the longer lasting surgical options for you would include a transconjunctival bleph as you say.

From your limited photo, it looks like you have some mid facial descent, and in my practice, this would be an indication for sub ciliary blepharoplasty with mid face lift. This addresses multiple signs of mid facial aging and lower lid ageing in one operation, but is not offered by everyone.

If you want to learn more about this technique, I have a video on this subject on my Adam Goodwin surgery, YouTube channel.

I hope that helps. Best wishes, Adam, Goodwin.

Hello, I hope you are well!! Well that depends on what is the real problem, `cause it can actually be that your brows are a little lower, in this case a frontoplastia could be the best option, since I don`t see a lot of space between your brows and your eyes, but if they`ve always been like this maybe a blepharoplasty suits you best, in any case they could be complement one to the other.