Bulging under eye following surgery in 2023. What procedure can fix this? (Photos)

You have several problems that I would address. Your upper eyebrows are too low and you would benefit from a brow lift. A brow lift will take care of the midline furrow above the nose, elevate the eyebrows higher and may be possible to lower the hairline. This will also take care of some upper eyelid skin. In terms of the lower eyelids, you need to have the fat transposed to the tear troughs as it appears to be bulging through the septum.

Best Wishes,

Gary Horndeski, M.D.

The orbicularis muscle is the muscle that is responsible for closing your eye, and it tends to look like a roll from the eyelashes down. It's possible that this has become apparent because fat was removed below it. The best advice I could give moving forward would be to consult with a reputable facial plastic surgeon or oculoplastic surgeon for an examination and formal consultation. I hope this helps. Sincerely, Dr Joseph

Hello. To best address your concern it would be helpful to analyze a lateral view photo and to have the details of your previous surgery available. It is possible that you have either herniation or pseudoherniation of some or all of the lower eyelid fat pads, although it does appear that there is some degree of volume deficiency as well. Various options exist for addressing volume deficiency including injectable fillers and autologous fat transfer. You may benefit from a detailed in person consultation with a facial plastic surgeon in your area.

Your picture shows that you have negative vector and doing the lower lid without building your check bone will not work. You can try filler to help but it will be temporary. For better results you will need to do brow lift at the same time since you have hooded upper eyelid.