Eyelid surgery that corrects the fullness in your lower lids is very long lasting. Although some patients may elect to have this redone after 10-20 years there are also many patients who find that the benefits are so long lasting that they never require further surgery. Often times adding some fat to the cheeks (at the time of the lower lid surgery) enhances the overall effect.
Surgery under the eye is permanent. Often I find patients end up needed lasers and fillers though, so a formal consultation with your physician and/or a noninvasive specialist would be important for long term antiaging. Best, Dr. Emer.