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Eye Re-Surgery

My mom has a step-like deep hollow under her eyes

I’m confused whether she should get under-eye fat repositioning or lower blepharoplasty Is lower blepharoplasty for cases more severe than under-eye fat repositioning??? But are there any specific side effects from surgeries like this?? Would there be any problems with her vision... My mom is in her 50s She’s upset because her under-eye area makes her look older

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