A lower blepharoplasty didn't work. Now what should I do? (Photo)

While I completely agree that over resection of lower eyelid fat is not good, your result seems so ultra-conservative that there is little to no change. From my experience, there is way more fat to give with either removal or repositioning (depending on your cheek volume). You do seem to have some volume loss in the cheeks and would benefit from repositioning or filler/fat grafting in the cheeks. If you were to have only filler added to disguise the bags as they are now, your cheeks and lower eyelids would be very full. You need more of the bag removed.  

If not, she should be offering you viable options on how best to deal with bag.  Most plastic surgeons move the fat into the hollow and most oculoplastic surgeons seem to want to remove fat (that only makes eyes hollow later) based on my observations.  If your surgeon feels this is a great result, then you should show the world what her work is like.  I suspect she is a younger surgeon and will learn a lot from your case.  You are now looking at either a re-do transconjunctival lower lid blepharoplasty with transposition of the fat or fillers/fat grafting into the hollow as long as the bag doesn't protrude too much.  As mentioned by someone else, you could also benefit from a browlift.

FightnTrojans, You would need an exam. The question would be do you have congenital pseudoherniation or senile. Depends on exam and history. You probably need a SOOF lift also; see the video on "SOOF lift blepharoplasty". Good luck!

If you do not have other eye problems from surgery, I would recommend a transconjunctival approach with fat repositioning to both reduce the remaining bulging, and fill the infraorbital hollowing below the lid. I feel this is a better solution for the long term.

Dear FightnTrojans, An in office examination would be needed to provide a proper diagnosis. However based on your photos alone if you were my patient I would perform and endoscopic browlift to put your brows back to their pre-aging position and a transconjunctival lower lid blepharoplasty with repositioning to address your lower eyelid bags. This combination procedure is done with no tell tale signs of surgery as the incisions are in the hairline and inside of the lower lid. This would provide a nice natural youthful appearance. I would not suggest using filler in the lower lids for your particular concern. See examples in the link below and these combined procedures in the video attached. Best regards, Michael V. Elam, M.D.