Had Lower Eye Bag Surgery, Now Eyelids are off Centered and One Looks Bigger than the Other. Options?

That’s a very common complication after eyelid surgery. And, we do see that especially when the skin is removed. Often further surgery is necessary and this can be very frustrating for patients. Sometimes filler can help. see video

It sounds like you have lower eyelid lag also called malposition or scleral show. This is not uncommon after lower eyelid surgery and can be temporary or permanent. Sometimes your body forms scar tissue that pulls the eyelid down. This can be addressed by message or traction measures employed by your surgeon during an office visit to break up the scar. This works especially well if the malposition was not present right after surgery but developed some weeks afterward and if performed within... more

Lower eyelid surgery can be performed using an incision on the inside of the lower eyelid or through the skin of the lower eyelid. The latter, can cause lower eyelid malposition (what you describe) which makes the inner and outer corners of the eye come closer together making the eye appear smaller. You may wish to discuss this with your surgeon and ask for suggestions to treat the eyelid malposition if it exists.