Bulging undereye - Would an eye lift fix this? (photos)

Thank you for your question and the photo you provided. Lower eyelid surgery (blepharoplasty) helps reduce 1) excess fat and 2) excess skin. Since this is a fluid problem, I agree with the other plastic surgeon you saw and would not have the eyelid surgery. I hope you find treatment for your Lyme Disease. Good luck.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for sharing your problem and posting your photo. If the eyelids are swollen with some form of fluid, surgery is not the correct approach to treatment. Oral steroids might be a good option. Sometimes Benadryl and cold compress can help. If the eyelids have excessive fat, then surgery is a reasonable option. You need a comprehensive evaluation in-person by an experienced oculoplastic surgeon.
Good luck,