Blepharoplasty or filler for hollow under eye? (photos)

 Treatment of lower eye hollows and under developed cheeks? The best treatment for your problem iwould be small cheek implants for your under developed cheeks as well as lower blepharoplasty with fat repositioning. This can all be done through one incision below your eyelashes.  In my opinion fillers will just put off your problem to the future. See a very experienced surgeon who produces natural results. 

Most expert experienced artistic plastic surgeons have a variety of
procedures, both non-surgical and surgical, at their disposal to produce
excellent cosmetic results in the appropriately selected patient: neurotoxins
(Botox or Dysport), temporary fillers like Restylane, long lasting
micro-fat grafts, blepharoplasties, and combinations of procedures. There is no
one best procedure. Each has benefits and drawbacks and depends on desired
outcome and individual anatomy.
In a patient your age, a temporary hyaluronic filler like Restylane would be a reasonable place to start.
Following the advice of anyone who would presume to tell you what to do without
seeing photos and without taking a full medical history, examining you, feeling
and assessing your tissue tone, discussing your desired outcome and fully
informing you about the pros and cons of each option would not be in your best
interest. Find a plastic surgeon that you are comfortable with and one that you
trust and listen to his or her advice. The surgeon should be certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with
that surgeon in person.
Robert Singer, MD FACS