Blepharoplasty on both eyes 4 years ago. My eyes are dry, red and puffy. Eye shape is different. Suggestions? (Photo)

Thank you for your question. The answer is, it depends. In older age groups the lower lid can become lax (loose) due to a combination of aging changes that effect critical supporting structures. A lateral canthopexy or canthoplasty that tightens the lower lid can lengthen the palpebral fissure....

Thank you for your question. An in-person examination is necessary to determine if the asymmetry is due to differences in skin excess (dermatochlasis) or differences in upper eye lid function (ptosis). Both can be corrected with proper surgical technique. Get a consultation with an oculoplastic...

Your photos suggest asymmetric pre-tarsal orbicular oculi muscles, not fat pad pseudoherniation. An in-person examination is necessary to accurately determine the cause and thus the correct surgical technique to address the asymmetry.