Dear Sueesquisite,
Festoons or malar bags, if that is the problem, are very difficult to treat. I have tried deep laser resurfacing and deep Infrared skin tightening technology and been disappointed with the results.
I have had good luck wiith a lateral eye/cheek lift performed through a lateral extension of the lower blepharoplasty incision.
During this procedure I elevate the lateral canthus (the tendon that supports the lower eyelid) and the lateral orbicularis oculi muscle, both of which pull the lateral (side) lower eyelid skin and upper cheek skin (the festoon) up.
This is tricky surgery and your doctor will have to be comfortable with the technique.
You mentioned an asymetry of the eyes. it is likely that the lower blepharoplasty has weakenbd the support of the lower lid, exposing more of one of your eyes than the other.
The benefit of the above technique is that the lid support can be strengthened and hopefully lower eyelid symetry improved.
Be sure to ask the right questions and insist on answers that make sense to you.
I do not think a chemical peel will help. I am also concerned that if the peel goes too deep, it could put further downward pressure on the eyelid and expose more of your eyes-a sad eyed look or ectropion.
