Best procedure for ageing eyes? (Photo)

You're description suggests a midface vertical lift will address two issues. The descent of the cheek is causing the lower eyelid to lengthen when the cheek fat falls below the orbit bone. The vertical lift that I do lifts the entire cheek vertically and the fat is lifted up over the orbit bone edge and over the cheek bone. The lift also addresses the "tear trough" area. The lower eyelid is done at the same time.

You see what you accomplished for improving your under-eyes by pulling on your skin? Well that can be easily accomplished with the use of an appropriately injected robust HA filler. I do that for people practically every day in my practice. The filler can not only help to reestablish a more feminine, heart-shaped oval face, but (much like what you are doing with your finger) will smooth the under-eye regions and create a more gradual transition between the upper mid-cheek and the under-eye regions. I gave up threads several years ago, since the complication rate of dimples, divets, thread extrusion and infection proved unacceptably high, the procedure was expensive and engendered significant post-treatment downtime. And no need, certainly not at this stage and from what can be seen in the photos, for expensive, aggressive, invasive surgeries. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Filler teatment for this, in experienced hands, should take no more than about fifteen to twenty minutes with immediate, on-the-spot results and engender little to no significant downtime. Hope this helps and has saved you a whole lot time, money and downtime. Best of luck.

An in person evaluation is best, but you may get adequate results without surgery. You can consider Morpheus8 treatments which can improve overall skin tone and texture. Under eye filler can help smooth the contours under the eyes. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.