Debating under eye filler or lower blepharoplasty to help with hollowness (Photos)

Let's see if we can make the decision so much easier. The photos provided suggest volume deficit in the cheeks. If this is indeed so, then the use of a robust HA volumizing filler for revolumizing and recontouring the cheeks can create a more feminine, heart-shaped oval face at the same time helping to treat the under-eye hollows (since the upper portion of the cheeks in the midface are a major support for the under-eyes). You will likely be so surprised and delighted that just a ten or fifteen minute treatment session in the hands of an experienced, board certified cosmetic dermatologist filler expert can yield immediate, on-the-spot, results that typically evoke a "Wow!" reaction. The additional good news is that this quick and simple procedure, as opposed to invasive surgery, is relatively inexpensive, involves no cutting nor stitches, and engenders little to no significant downtime. Admittedly, this may sound too good to be true. However, I literally have the words "Wow" painted on my mirror because that is the overwhelming response to this kind of treatment that I tell my patients in advance that they can expect a few minutes later and emphasize to them that any doctor would have to be nuts to put this in his/her mirror and make this kind of claim if he/she were not sure that a few minutes later that the patient would respond that way. Hope this helps and best of luck.

Based on your nicely posted photos, you could start with HA filler injections to tear trough deformity to see the results though temporary needing treatments 2 to 3 times a year. Fee ranges from $600-$1200. Or bilateral lower lid trans conjunctiva blepharoplasty for fat removal and fat repositioning fee under general anesthesia $4000. Final option is a combination of HA filler for tear troughs and trans conjunctiva blepharoplasty. Fee $8000-$10,000. Best virtual consult with.