Filler Under Eyes VS Lower Blepharoplasty? (photo)

Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids. Surgery will require about 7 days of downtime to recover from any swelling or bruising but will give you a long-term improvement in the lower eyelid bags. Filler, on the other hand, has minimal downtime (any bruising can be covered up immediately with makeup) but is temporary lasting from 6-12 months. Both options will work well for you. I hope this information is helpful.Stephen Weber MD, FACS

I do not see much in the way of wrinkles under your eyes, but you do have some protrusion of fat which is causing the puffiness and then an area of depression underneath it.  Your options would be to have surgery to deal with the fat or to use a filler, like Restylane, to treat the area of depression and improve the area.  The improvement from the Restylane would be temporary.