Extra Baggy Skin After Blepharoplasty (photo)

I prefer to use an external incision on many of my blepharoplasty patients to address the fat (excision or redraping), along with muscle tightening, skin removal and canthal tightening. You may need to have the skin/muscle addressed at this point and should seek further consultation.

Without knowing the full details of your preoperative condition, and what surgery was performed, it is difficult to comment on what can be done to improve the situation. My advice is to talk to your surgeon and develop a plan that meets your needs. You can also get another opinion from a specialist in this area.

Based on your picture, it looks like you need skin tightening. This can be accomplished with a chemical peel, laser resurfacing, or skin resection. You just have to be careful the the tension of your lower lid is sufficient, since multiple lower lid procedures may cause the lid to pull away from the eyeball if a canthopexy (tightening stitch) is not used.

I assume that you had a transconjunctival blepharoplasty (performed through the inside of the eyes). You had already laser resurfacing. Therefore, options to consider now include additional skin removal through a incision just beneath the lash line. Volume enhancement with fat transfer (or injectable fillers) can improve the sunken aspect.
I hope this helps.

A full contact Blepharoplasty with muscle and skin redraping will address this issue for the long term. Laser could have a role but since it did not work for you it is better to try surgery.