Should I consider surgical options such as canthopexy/canthoplasty lift or conservative options such as Botox? (Photos)

Hi, Isa414. Thank you for your queston and pictures.
As your eye angles are fine (positive vector), I wouldn’t suggest you to have a canthoplasty. Instead, a fat injection to the malar regions and also to the tear troughs will help more. (Right side will recieve more volume) Fillers can also restore the volume loss but it is a temporary solution and will need to be done again. The skin laxity that has started in your lower eyelids are best treated with a fractional carbondioxide laser. That treatment isn’t suggested in summer. The treatment volume asymmetry between right and left will solve your problem.