Lower Eyelid Drooping After Blepharoplasty

Revision lower eyelid surgery is complex. It involves midface techniques (i.e. cheeklift), possibly grafts into the lower eyes, and complex canthal surgery. The skillset and paradigm required for the revision surgery of the lower eyelid is entirely different than for the primary surgery.
Surgeons undertaking this surgery should have an interest in these areas before attempting a third time redo lower eyelid surgery.
There was no time limit specified in your post. Shortly after surgery, the lid can pull down and this can often be treated with conservative means.
With any problem with vision, it is a good idea to see an ophthalmologist. He or she will also check for excessive dryness of the cornea, the lining of the eye.

Healing after #lowerEyelidsurgeryectropion is not uncommon in the first 6 weeks after lower lid surgery.this can improve with taping, massage, injection with 5fu.the eye must be protected from drying while this heals

Usually ectropion following lower eyelid blepharoplasty is due to excessive skin removal. It can also be the result of unusual scarring or hematoma formation. There are several techniques to treat this common problem. See an oculoplastic surgeon who is comfortable in the management of your condition. 

 

                  In
the immediate post-operative period, lower eyelid drooping is not an uncommon
finding in blepharoplasty patients. In the vast majority of patients, lower
eyelid drooping resolves with conservative management. In a small percentage of
patients, this problem persists and surgical intervention becomes necessary.

                  It’s
difficult to make a treatment recommendation without knowing the surgical time
line of your procedure. In addition, it’s difficult to know what option is best
for you without performing a physical examination.

                  In
general terms, the vast majority of patients can be managed conservatively.
This usually involves massage and suspending the lower eyelid with steristrips.
In most cases the lower eyelids will snap back and patients will have total resolution
of their problem. When lower lid drooping persist after a suitable period of
time has elapsed, surgical correction may be necessary.

                  This
problem requires close monitoring by your surgeon. In some cases consultation
with an expert in eyelid reconstruction may be necessary. 

This is not an uncommon problem can present in a variety of ways.  If surgery was recent then massage from inner to outer  areas of the lower eyelid and the use of steristrips will sometimes completely correct the problem.  Other times there may be more precise surgical repair to be done.  I would see my surgeon and see what he recommends.

Eyelid surgery, and surgery on the face is some of the most delicate surgery in all of plastic surgery.  Correction of the drooping after blepharoplasty mandates advice from an expert in facial or eyelid plastic surgery.  Myself and a colleague have recently written an academic paper (see below link) on avoiding this complication after blepharoplasty.