Treacher Collins Syndrome. Second Opinion on Treatment? (photo)

Hello i've had an appointment with ps today. He told me i have treacher collins syndrome (anti mongoloid slant downward eyes) and i need a canthoplasty and malar fillers to make the area below the eye look fuller. He says i dont need a blepharoplasty but what about the dark circles under the eyes that i have under the eyes?shouldnt it be addressed?are there any more improvements you can advise? He also says that i dont have eyelid ptosis even if they eyes look assymetric. thanks in advance