Can anything be done after 2nd revision for lower lid skin pinch? (photos)

The skin pinch, laser resurfacing, chemical peeling, fat grafting, fillers, and many midface surgeries actually make this problem works with not clear way to fix the issues. In fact many surgeons gas light their patients about this issue. A lot depends on your personal history. I would certainly recommend removing any hyaluronic filler that is still in the lower eyelid and mid face. You may need some of that filler back but often this stuff accumulated in the tissue and over time misbehaves. Removing it does require an adequate amount of hyaluronidase, the enzyme that breaks down the hyaluronic acid filler. I will strongly caution you against chasing this surgically. Well meaning surgeons will offer you the stars, the moon, and the sky but at they end of the day, many of these procedures will actually further harm you. Less is more.