Smile changed after lower blepharoplasty - can I get it back? (photos)

We usually don’t base cosmetic surgical outcomes based on dynamic expression. It’s very difficult to determine dynamic changes during surgery since most patients are usually put to sleep or at least sedated. Your situation is complex and without seeing a complete set of proper before and after pictures, we can’t really make an assessment.I suggest you follow up with your provider and discuss your concerns with him or her. Alternatively, you could schedule second opinion consultations, but I think most likely people are going to say that this is simply the outcome of your procedure.
Revising repositioning of lower eye lid fat pads is fairly unusual and I’m not sure you’ll be able to find someone who’s done it in the past. Your situation is sufficiently complex to warrant in person consultations.
Best,
Mats Hagstrom, MD