Lower Blepharoplasty for Tear Trough Bags?

Lower eyelid lifts or blepharoplasty can improve the appearance of the bags under your eyes and the tear trough as well, depending on the technique used.
With modern techniques, there are bascially three methods to treat the lower eyelid bulges:
1) Fat removal - Here the excess fat is removed. This will not affect the tear trough significantly, although it can in select cases.
2) Fat Hernia Repair - Here the fat is placed back where it came from and the lowereyelid tissues are closed to keep it in place. This is akin to treating the fat like a hernia repair, and just putting it back into its original position. This rarely affects the tear trough.
3) Fat Repositioning - This is sometimes called fat transposition or septal reset. Here the fat is repositioned to cover the hollowness beneath the protruding fat. This is your best bet for improving the tear trough.
Make sure you see a surgeon experienced in modern blepharoplasty technques. They will have before and after photos to show you so that you will know what you can expect.

The lower lid blepharoplasty is designed to do exactly that: remove the bags, along with tightening up the skin. The trend now is to reposition the fat bulges that cause bags, rather than removing them, for more natural and durable result.
It's a shame that the injections made it worse though, since when done right that can be very successful. Yours may have been placed too high or too superficially. It is important to consider timing too, it may make the most sense to wait until the filler has gone away.