Temple lift, canthopexy or mid face lift?

HI indie,It is difficult to give you any sort of answer without a photo. Pulling on your eyes does not mimic the direction of pull of a surgical procedure. The temples , upper lids and canthal areas are all connected in terms of the muscle forces exerted on these areas, so you need to have a personal exam by a Board certified plastic surgeon near you to give you a realistic and educated answer.Good Luck,Dr. Christine Rodgers

Unlike causes of darkening of the lower eye lid region like fat pad protrusion or deep sulci, veins under the lower lids have to be handled with care. If they are dilated then a correct cause must be made so a proper conservative treatment plan can be prosposed. Sometimes nasal issues like allergy or chronic sinusitis can cause this issue. High blood pressure and undiagnosed eye problems can also present this way. To get the most complete evaluation you should see an ophthalmic plastic surgeon.

A personal evaluation is required for specific recommendations.A blepharoplasty may address your concerns but this is to be determine at the time of your evaluation. Search for a boardcertified plastic surgeon with vast experience in cosmeticsurgery for the eyelids. Best wishes.

Although you are on the young side eyelid surgery may be appropriate in your situation. Of course can’t tell without photos. I usually perform a standard eyelid lift. Midface lift and canthopexy can give an artificial look. I know they are all the rage these days but I don’t think they are that great and have seen problems.

Hi there, 
Thanks for your question. If you don't desire any changes to your brow position, I'd urge you to stay away from any sort of temple lift since this will ultimately manipulate the tail of your brows to some extent. Generally speaking, under eye veins are hard to treat, but if this problem is caused by a volume deficit then a lower eyelid lift (AKA "lower eyelid blepharoplasty") may be a solution for the dark circles while simultaneously lifting the under eye area (similar to what you are likely doing with your finger). A canthopexy is a procedure that can be done at the same time as the lower eyelid lift which will also act to support the lower eyelid. Without seeing a photograph of your lower eyelid position and feeling the strength and tone of your lower eyelids it is hard to know if a canthopexy alone will be enough to achieve the look you desire. Often times I've found that in addition to canthal support with a canthopexy, that muscular support is also required to fully support the lower eyelid. Finally, while a midface lift will help improve the lower eyelid-cheek junction, this is likely not the best solution for your under eye, which will be much better addressed with a procedure directly on that area. Best of luck!

It sounds that your brow may be a little low. That can be repositioned and there are various procedures that can be used; even non-invasive ones. 
The lower lid veins can be treated with either lasers or IPL. Face-to-face consultation would be ideal to make the best treatment recommendations for you. 

Thank you for your questions. It is hard to evaluate exactly what you may need without a photo. Sometimes, dark looking circles under the eyes in the tear trough area are caused from volume depletion. Filler or fat grafting to the area works great to correct this issue. If you have excess skin on your upper lids, you may need a blepharoplasty or eyelid lift. I recommend scheduling a consultation with a board certified Plastic Surgeon. They will be able to assess your specific anatomy and make a recommendation based on that. In our office, we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!