What is the best way to get rid of festoons? My doctor made them worse after a blepharoplasty.

Thank you for your question.  I am truly sorry that this has happened to you.  While I cannot disagree with the idea of waiting a little longer and I am aware that there have been some reports of success with doxycycline injections, it would not surprise me if you will require revisional surgery.  Festoons are a serious problem that are often overlooked by surgeons eager to do blepharoplasty.  And sometimes, the eyelid surgery can make the festoons worse.  I think that, in my hands, it is likely that you will require a SOOF (suborbicularis oculi fat) lift with Hetter Resurfacing.  This is a perfect example of why eyelid surgery is best performed by oculoplastic surgeons, and not by general plastic surgeons who generally have little understanding or training in periorbital anatomy.  Please see an expert for your repair if necessary.  Good luck!

Your festoons look like postoperative swelling that has failed to resolve.  I have seen festoons persist for as long as a year with gradual resolution.  That area of the cheek has impaired lymphatic drainage, and rarely can take a long time to resolve.  In my own experience, dilute steroid injections have sometimes been helpful.  At this time the best thing to do is conservative measures only. I would not consider additional surgery for at least a year.

Your photos show subcutaneous fluid at the lid-cheek junction of both lower eyelids, the right worse than the left. Given that you notice this is worse than before blepharoplasty suggests that this is retained fluid which has not resolved after surgery. I recommend a conservative treatment of a low salt diet and frequent lymphatic massage (4X per day). Lymphatic massage is performed by using the pads of your finger tips to roll over the fluid pockets from the inner eyelid to the outer eyelid. In essence you are rolling the fluid out, pushing it into the deeper tissue and activating the lymphatic channels to absorb this fluid. Once the fluid is gone you can then decide if further treatment is necessary for the loose skin but until the fluid is gone it is hard to know if anything additional will be needed. This may take a few more months to resolve. Treatment considerations going forward include direct skin removal (cut out the festoon), indirect ski removal (remove additional skin under the lash line), and CO2 laser resurfacing to shrink and tighten the skin.