Which procedure would be the best option to treat my for tired eyes? 36 y/o (photos)

The puffiness in your lower eyelids can be treated with safe fat sculpting, and no lower eyelid skin removal so the natural character of your eyes is preserved. If considering lower surgery, I advise you not have lower eyelid skin removed as it does have a high risk of complications such as lower eyelids being pulled down, looking rounded, or even a skin shortage compromising full eyelid closure. With a specialized technique, fat pockets can be sculpted from behind the lower eyelid skin, so there is incision on the eyelid skin. You can refer to the attached video about it

It’s difficult to tell about your upper lids, but you may have something called ptosis, which is a muscle weakness. With regards to your lower lids, a trans conjunctival lower eyelid surgery can accomplish removal of the offending fat bags through an incision on the inside of the eyelid. No external incision is required. This procedure is performed under a brief general anesthesia as an outpatient procedure.