What type of eyelid surgery do I need for saggy / puffy eyes? (photo)

You are a great candidate for Asian blepharoplasty. You have some excess upper eyelid skin, but also some asymmetry of your upper eyelid creases with multiple folds, especially on your left eye. It's important to seek out a surgeon specializing in Asian eyelid surgery as the crease will need to...

Normally there exists a connection between your eyelid muscle and skin that forms the crease whenever you open your eyes. It's not common for Asians to have a connection that is either naturally weak, or weakens with advancing age. That connection can be re-established during Asian...

It would be possible to change the shape and appearance of your upper eyelid crease to re-create a more tapered configuration with greater pre-tarsal show along the outer corner during a revision Asian eyelid surgery.

Your epicanthal folds are perfect. Any attempt to mess with them surgically would be a big mistake. Leave them alone

Botox works as a neuromodulator to smooth out dynamic wrinkles created by the movement of facial muscles. While it can "lift" the brow temporally a mild amount, you do have some excess skin and a degree of brow ptosis that Botox alone would not correct. Blepharoplasty in combination with a...

Based on your photos it does appear that the medial aspect of your left supratarsal crease lacks a firm connection to the underlying levator/tarsus. A revision upper blepharoplasty to re-establish and anchor the crease should allow for a lower and more symmetric crease to form.