Mid Face Lift and Scleral Show? (photo)

Whatever you do, do not get malar implants. They have a very high incidence of complications and dissatisfaction and usually make scleral show worse, not better.

Very good question. I agree with you in that you have scleral show and weak support of your lower eyelids. There are several different midface techniques out there and unless your surgeon chooses a technique that increases volume in the midface, you will run the risk of it not working. Cheek implants are an excellent idea for giving you long term stable improvement. Fat grafting and Sculptra could also help (though not as powerful as implants) as a non-surgical option. Take you time and get several opinions before you dive in. Good luck.