Lower eyelid surgery - can this work be corrected? (Photo)

I am sorry for your problems. Unfortunately, this is some koi why I do not do transconjunctival lower blepharoplasty. The "lump" is the lower lateral fat pad. There are ways to reduce it surgically, but they have risks of causing lower lid descent. What you need now is fat grafting or filler to the area just below the orbital ligament both centrally and laterally. See a plastic surgeon who is an expert in both non surgical and surgical (knowledge of the anatomy is key) treatment of the under eye area.