Is a lower blepharoplasty with fat repositioning the wrong procedure on a patient with a Negative Vector Orbit? (photo)

You have a complex case. You may have one side lower eyelid retraction. You need more detailed evaluation to determine what treatment is best for you.

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a...

It's possible to give you a crease that is higher and more symmetric with upper eyelid surgery. During the surgery a small amount of fat and excess skin will be removed, and your crease will be formed and set at a bit higher. If you want the best idea of what is possible for your eyes, do your...

A lower lid blepharoplasty to remove excess skin with a canthopexy to support the lateral canthus would be a good option.

Ultimately, it is likely that you will benefit from ptosis surgery to address this issue. There is a new prescription drop called Upneeq that raises the eyelid for a few hours. You might talk with your eye MD about this product to see if it is right for you.

Yes it can be done but it is important to have individual evaluation to determine accurately and see an expert.