Lagophtalmus and Hollow-Eyes after blepharoplasty - Options? (photos)

Lagopthalmos occurs when too much skin is removed from the upper eyelid and the eye can't fully close. It can also occur due to temporary muscle weakness of the orbicularis eye muscle. I would recommend you follow-up closely with your surgeon. Proper hydration is critical for the eyes to prevent damage with hydrating eye drops and ointment.

Yes, fat grafting and redo blep with levator attachment will help. Your presentation is classic for a post blepharoplasty syndrome where too much skin and fat was removed. If you are not ready to do another blep, a good start is fat grafting to address the hollowness. It can sometime also correct and lower the lid slightly.