Can you explain the difference between tarsal fixation and normal upper blepharoplasty?

Your eyebrows are quite flat and horizontal, so in my opinion you will need to opt for brow lift(endoscopic or mini brow lift) and probably some fat grafting in the inner part of upper eyelid and lower eyelid area. The type of brow lift can decided after consultation and your expectations.

You have ectropion of the waterline. You actually have upper eyelid ptosis and a poorly controlled eyelid platform. Effectively the eyelid platform are asymmetric (too much platform show on the right side). To address these issues, a surgical revision is needed to lower the eyelid crease,...

Fat transfer to the upper eyelid is indicated to fill up the hollowness. Filler would just be temporary solution

Your canthal tilt is normal. You don't need a lateral canthoplasty. You have mild lower lid retraction (your lower eyelid is slightly rounded on the outside edge). It can be improved using a small graft on the inside of your lower eyelid. This will make it seem like you have positive tilt. You...

Malar mounds are difficult to treat. Some patients find improvement with Morpheus8. These treatments help stimulate collagen production to add underlying support of the structure and give a smoother contour. See a board certified plastic surgeon near you to learn more.

An upper blepharoplasty can help remove some extra skin so you have more visible upper eyelid or more eyeshadow space. The incision is hidden within your natural crease so there is no scarring. Hope this helps! Johnson C. Lee, MD Board-Certified Plastic Surgeon