Bad Results from Blepharoplasty? (photo)

You appear to have bilateral lower eyelid retraction.  That could be due to contracture/tightness in different layers of the lower eyelid and I cannot tell without examination.  Canthopexy or canthoplasty alone will NOT fix the problem.  See an oculoplastic surgeon.

    Only an exam can determine what is possible to help your situation.  Debilitating pain and the blepharitis issues need to be sorted out as well.

I'm sorry for your situation.  Although the pictures are helpful, actually feeling the tissue and where it is tight or not in person is the best.  At the least, a canthopexy would be beneficial, but more procedures may be indicated based on what the examination shows.  In addition to Dr. Fagien who was recommended earlier, Dr. Michael Patipa in West Palm Beach is well known for his work in this area.  

 

Best of luck! 

I'm very sorry you have had these problems, and you need to realize that the reparative procedures recommended are quite aggressive but likely indicated.  I strongly suggest you find a surgeon with whom you feel very comfortable.

It's clear that you have lower lid malposition and mild eversion of lid margin. The best evaluation is an in person examination where the skin laxity, lower lid muscle dynamics and scar tissue can be assessed. The revision is based on identifying the source of the problem. Your original surgeon may have the best insight to the source of the problem. In general if you have adequate tissue then canthopexy may be enough. Cheek lift may add additional soft tissue support. If on exam you have a shortage of skin or internal tissue, then skin graft or spacer graft may be necessary. Try to identify the source of the problem then the solution will become more straightforward.
Best Wishes,
Stewart Wang, MD FACS, Wang Plastic Surgery