I am thinking lower bleph, brow lift & fat grafting & repositioning of the fat? (Photos)

It would be very difficult to give you a meaningful advice based on these photos. In person or teleconference consultation with a board certified plastic surgeon with expertise in blepharoplasty, brow lift and periorbital fat grafting is recommended. Good luck.

Hi. To address your under-eye hollows, dark circles, and fat pads:1. Lower Blepharoplasty (Eyelid Surgery). Removes or repositions excess fat and tightens the area under the eyes to reduce bags and hollows.2. Brow Lift. Lifts and reshapes the brow area. Options include: - Endoscopic Brow Lift. Minimally invasive, lifts the entire brow. - Temporal Brow Lift. Focuses on lifting the outer brow, which may help open up the eye area.3. Fat Grafting and Repositioning: - Under-Eye Fat Transfer. Adds volume to hollows, improving dark circles and deep-set eyes. - Fat Repositioning. Moves existing fat pads to fill hollows. - Temple Fat Grafting. Adds volume to the temples, which can soften a pronounced forehead and improve facial balance.4. Eye Shape Enhancement: - Fox Eye or Canthoplasty. Adjusts the outer corner of the eyes for an elongated look. This should be considered carefully to ensure it complements your features.
Consulting with a board-certified facial plastic or oculoplastic surgeon will help you choose the best procedures to achieve your desired results.

To make an accurate assessment, we need quality pictures.
Take a look at how plastic surgeons take before and after pictures to get an idea of how to take facial pictures.
We typically don’t assess the lower eyelids with patient looking up.
The pictures you’ve included were you look forward I don’t see a strong indication for doing a lower eyelid blepharoplasty.
Overall your mid face volume is reasonably good.
Your brown position is not necessarily low and you have minimal hooding of your upper eyelids.
We can’t see your hairline completely so the approach to a possible bar lift can’t really be assessed.
Honestly, I don’t see that much indication for surgery.
That is not to say that these procedures can’t improve your local
Recognize that any cosmetic surgical intervention can also lead to undesirable outcomes, including problems.
Doing surgery that doesn’t have a solid indication may be ill advised.
I suggest you focus exclusively on in person consultations with plastic surgeons in your community.
Avoid virtual consultations whenever possible.
Best,
Mats Hagstrom MD