Ueven under eyes, bags and hollows. Am I a good candidate for lower bleph?

A lower blepharoplasty uses transposed fat to fill out the hollows of the eyes. However, you would get more improvement by a rhinoplasty. Your nose has shifted to the side and a rhinoplasty with possible septoplasty would give much more improvement of your face than a lower blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Beware though that if you ask, some will operate on you whether you need surgery or not. As I look at these photographs, I do not believe that your prior filler has be adequately removed. Your lower eyelids exhibit a type of lumpiness associated with retained filler. Also when I look at your face overall, I do wonder if you have significant retained filler in your cheeks. The material overtime does not really disappear. It drifts in the face and as it ages, it holds more and more volume. For some reason, we tend to accept these changes and assume they are due to aging rather than due to aging filler. If I were to see you, I would ask you about how much filler you have had in the past. Likely enough to account for the changes in your face. By removing this old filler, you are likely to look 10 to 15 years younger. There is no substitute for a detailed in person assessment. Hope this helps.

Based on these photos, it appears that a combination of lower, transconjunctival blepharoplasty and TCA chemical peel would be a good procedure for you. In person consultation with a board certified plastic surgeon with good reputation in periorbital rejuvenation is recommended. Good luck.

Based on your shoes supposed to photos, my recommendation would be an upper lid plasty with a partial lower lid plasty with Endo lays reduction of fat pads. Fee $6000-$8000. Best of virtual consult with.