Drooping eyelids, should I opt for a brow lift, fillers, canthopexy or canthoplasty? Advice? (photos)

Negative canthal tilt may not get resolved with canthoplasty alone; it may need what I can call almond eye surgery. See following link. Best to get personal consultation for proper eye evaluation and discussing various treatment options you mention.

Thank you for your photos. It is difficult to determine what procedures are necessary to modify your eye and brow positions by photos alone. Unlike other parts of your body (eg: breasts), your eyes and brows are dynamic and are constantly changing shape with movement. Therefore, it is best to have an in-office examination to evaluate your anatomy, function, vision, and quality of the structures around the eye to determine the safest and most effective treatment plan to achieve your goals. Options may include a brow lift, upper blepharoplasty, and lower eyelid tightening repositioning/tightening procedure, but this cannot be determined by your photographs alone. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Based on your photographs, I would recommend starting with a small lateral brow lift. You appear young, so I would say less is better for now. Your lower lid contour looks great from the first photo and the sides - don't think a canthoplasty or pexy would be indicated. Blepharoplasty would bring the brows even closer to your lid crease - inadvisable in my opinion. You may want to proceed with an in-person evaluation with an Oculoplastic surgeon in LA. Get a good examination and learn your options prior to making a decision. Best wishes.