Lower Blepharoplasty volume loss

There have been changes in the way surgeons perform lower blepharoplasty. The general trend in lower blepharoplasty is toward conservation of the lower eyelid skin, preservation of lower orbital fat, avoiding tension on the lower lid, performing a canthopexy or canthoplasty, and filling the tear-trough depression. It sounds like your surgeon removed too much orbital fat, which along with the normal volume loss with age has contributed to the depression below your eyes. 

I would recommend a two stage approach. First, start with fat grafting to correct the lower orbital and tear trough volume loss. Second, once volume loss is corrected, determine the degree of skin tightening required and perform laser resurfacing of the loose skin as needed.

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What you describe is a combination of skin excess and fat atrophy.

The simple answer to this could be a revision of the lower lid surgery with a conservative excision of the lower lid skin in additio to redraping of the fat pockets or microfat grafting.

A non surgical option will be laser for skin and filler injection

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