What would you recommend for this tear trough? Lower blepharoplasty? Or fat transfer? (Photos)

I would recommend an evaluation in person including a full eye exam before making any official recommendations or treatment plan. I believe that an upper eyelid blepharoplasty is the minimum needed to achieve proper upper eyelid aesthetics. With a physical exam, it might be determined that a...

Lower lid bleph. Can't tell from photo -- best pic is looking up to see if there are prominent fat pads. If there are, then I would remove them, too.

The lateral portion of your upper eyelid incision has fullness. This needs to be corrected by extending the incision and connecting the skin. Best Wishes, Gary Horndeski, M.D.

The injury has likely caused bruising to the lower eyelids. Even though the trauma was to your forehead, blood pools in the lower lids due to the effects of gravity. This should fully resolved. Continue with your usual skin care regime.

You need epicanthal fold release. This is a surgical procedure and can possibly be done under local anesthesia. Best Wishes, Gary Horndeski, M.D.

Based on your photo, your left eyelid appears to droop lower than your right eyelid. This is typically called ptosis. Please consider consulting with a reputable oculoplastic surgeon to discuss your options. I hope this helps! Sincerely, Dr. Joseph