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For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
It appears that major reason for early appearance of mallar begs and tear trough deformity is malar deficiancy, small malar bones. Correcetion of malar hypoplasia with cheek implants and transconjuctival lower blepharoplasty would be one of the options to give you significant and lasting improvement. Good luck.
As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow,...
The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused...
Hi @Nurturing79439! I would recommend a lower lid blepharoplasty. You would not be a good candidate for tear trough fillers. Best of luck to you!