Filler Under Eyes VS Lower Blepharoplasty? (photo)

Both fillers to the tear trough/cheek and lower lid blepharoplasty with fat repositioning are valid options. If taking 1-2 weeks off from work is not an option for you, then fillers are the way to go. Juvederm, Restylane, or Boletero can be used in this area. A combination of injection to the tear trough and the upper cheek would give you the best outcome.

A thorough physical examination (touch and feel) is essential to determine the  appropriate technique suited for each individual patient.  Poorly lit photos will generate a lot of bad advice.    Do not waste your time with fillers.  It is always better to do the best procedure that deals with the problem and get it right the first time.  

In skilled hands you could reasonably return to work in one week.  Full unrestricted activity is typically at three weeks.   Best wishes.  Knowledge is power.  Luis F. Villar MD FACS

Both surgery and fillers are options. A transconjunctival blepharoplasty...an incision on the inside of the eyelid to remove the fat pocket would work well for you.  Your recovery should not be too bad.  Alternatively, a filler such as Radiesse to the cheeks and Restylane to the lid cheek junction and tear trough would help significantly.  All the best.