Vivian Schiedler, MD

Even though 15% TCA is a superficial peel and would not penetrate deep down to where the filler should have been placed under your eyes, it is a bad idea to do this to yourself at home.  The eyelids have very thin skin and are more prone to scarring than other parts of the face.  It is not easy to smoothly apply even layers on yourself and you should be in a horizontal position, not upright position to avoid dripping and going too deep, or worse, getting it in your eye.  Frosting has several stages and one needs to be familiar with detecting the subtle skin changes as the peel is applied.  Please see an experienced oculoplastic surgeon or dermatologist. 

Fortunately eyelid skin is very forgiving as far as wound healing and scars.  At one week the incision will tighten and continue to feel firm for about 6-8 weeks until it begins to mature and soften.  Small bumps are common and they usually go away on their own.  You can speed up this process with a little massage.  It can be helpful to inject a fluorouracil / steroid combination to help soften these areas faster.  Ask your surgeon what they suggest to optimize your final results.  

The dropped central brow and exaggerated brow tail arches can occur for a few reasons.  First off, most Botox injectors are unfortunately taught wrong from the beginning and the package insert which describes the FDA approved brow treatment is cookie cutter one size fits all.  A lot of injectors are taught to treat at least 1 cm away from the eye socket to avoid the Botox from drifting into the upper eyelid or eye muscles and avoid a droopy eyelid or double vision.  However, they sometimes inject too high and into the forehead lifting muscle which weakens it centrally and causes the inner brows to drop over the eyes.  When the upper and central forehead is also treated to soften the horizontal forehead wrinkles, it also causes further weakening and the brows drop even more.  Most times the lateral or outer forehead lifting muscle is left untreated and it overcompensates for the heavy brow, causing the brow tails to lift up and give a creepy Dr. Spock or Cruella DeVille appearance.  I see this unfortunate result all around town to a variety of degrees, which is a telltale sign that you have had Botox.  A touch up treatment can help to soften this result, but an experienced injector should understand the dynamics of agonist - antagonist muscles to avoid this or only have it happen to a mild degree infrequently in predisposed individuals.  Every face is unique and requires an individualized approach.  You will be able to have a very beautiful result with a modified approach next time.  Best wishes.    

I am sorry to hear you have been having this problem for so long.  You might actually have a mite infestation.  In the past 10 years, we have discovered and learned how mites affect human eyelids. Demodex is a parasite that looks microscopically like a tiny insect.   They burrow into the lash follicles and oil glands of our lids and can cause repeated styes, chronic inflammation, dry eye, lash loss, and the typical sign is a collarette or dead skin debris wrapped around the base of the lashes.  The only way to know for sure is to slowly pluck some lashes and check under a high power microscope to look for the mites.  Not every office will have such a microscope.  Fortunately, you can get rid of these critters with Cliradex wipes that contain 4% 4-terpinol (from tea tree oil) which in a 6 week course of treatment will kill the mites.  You should also change out your pillow, and wash your bedding once a week on a hot cycle.  Unfortunately, regular tea tree oil is not as effective and too harsh, even when diluted, to be tolerated well around the eyes.  Ask your ophthalmologist or oculoplastic surgeon about Cliradex.  I'm not trying to "plug" this product, but I do use it in my practice and have found it to be very effective.  Research "eyewiki Demodex" for more info.  You may want to print this out and take it to your eye doctor since this is relatively newly discovered in the realm of Ophthalmology.  

Best of luck!  

One side always swells more than the other.  There could be a very small opening in the wound but it may heal fine with time and keeping it moist with ointment.  If not, it can be revised with a very small office procedure.  Avoid salt or high sodium foods so that you are not adding more swelling around your eyes at this time.  Hope this is helpful.