Please post photos! It's hard to make an assessment without seeing pictures.
The big question in my mind is whether this bulge represents fat or excess muscle. If the protuberance is fat, the only good solution is lower eyelid blepharoplasty.
However, if the bulge is a roll of muscle, then you have options:
- A lower eyelid blepharoplasty might still be the answer. It is a power operation for contouring excess fat, muscle, and skin.
- Botox can minimize excessive orbicularis oculi muscle without surgery.
Regarding Botox, you should find an experienced Botox injector. Ask for 1 unit of Botox in the roll under each eyelid. Wait a few weeks. Then, assess the result. You just might be able to solve your problem without surgery.
(If your plastic surgeon is up on the latest treatments, 2.5 units of Dysport would also work. Dysport is nearly equivalent to Botox.)
Do be aware that this is a tricky use of Botox/Dysport. There are a few potential (albeit unlikely) risks.
- Lowering the lower eyelid margin (so that you see white beneath your irises--the colored portion of the eye)
- Loosening the tension on the fat beneath the eyes, such that real fat bags do become apparent
- Causing your eyes to become dry and scratchy
I highly doubt that you will have problems, but other plastic surgeons might be hesitant to give my suggestion a try. This is definitely a Botox/Dysport use for experienced injectors only.
(By the way, Angelina Jolie also has muscular rolls beneath her lower eyelids. You're in good company.)