11 Years After Blepharoplasty Left Side is Puffy with a Small Wart, What Should I Do?

Based on your photo, there is a mild asymmetry between the lower eyelids. There is a mild lower eyelid prolapse on the left side, but, even not seeing your cheeks/midface fully, it looks like you have a flat, deflated cheek which could use filler or fat to increase volume. This will likely improve the lower eyelid asymmetry. As as the lower eyelid bump goes. It needs to be examined and possible biopsied to make sure it is not a skin cancer. Good luck

Since your original surgeon gave you a long lasting result that you mostly liked I suggest you go back to see him or her. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a... more

11 years of benefit is actually pretty good. The lower eyelid could be revised to get additional improvement. This is reasonable.