I had lower Bleph and facial fat transfer 4 1/2 weeks ago and one incision line feels ropey while the other is nearly invisible.

It looks like you are a good candidate for the surgery being proposed. You might ask your surgeon to show you before and after surgery pictures of patients like you to help re assure you that he can improve your eyes and avoid the distortions to which you refer.

Yes, it is entirely possible that your bells palsy is behind your recent under eye bag. My advice would be to give your body the time to heal and then reassess your under eye bags in another month or two. If you still don't like the way things look, schedule a consultation with a board certified...

It sounds like you have inherited lower eyelid retraction with sclera show. It can be abnormal but it also depends on the ethnicity and other factors. Classically, almond shape eye don't have scleral show. Filler injection will not work to lift the lower eyelids without making the area too puffy...

You have a very active lower eyelid pretarsal orbicularis muscle (the muscle which helps you blink). Softening its bulky appearance with a neurotoxin like Botox, Dysport or Xeomin, and filling along your lower orbital rim with a soft filler would be an appropriate first approach. Surgical...

Based on your photos, I think you likely bled a little bit especially on the left side. I would recommend going back to using cold packs, avoiding heavy lifting/exercising, and discuss your concerns with your PS. I think you will ultimately do fine but your healing may be a bit delayed. Best wishes!

You do have some fine wrinkling of the lower lids and it appears that there is some loose skin.  A lower lid surgery to remove some skin with some laser resurfacing should help to improve the texture.  May also want to put some fat in to add volume to the area since you are hollow.