I Had Lower Eyelid Surgery 4 Months Ago and Right Eye Still has Droopiness, Options? (photo)

Your photos are helpful and do show more scleral show on your right side.  An exam would help clarify if the healing in your lid is still active and is holding the lower lids down from the internal scarring.  You appear to be young and your tissues good.  Some gentle upward eyelid stretching, to lengthen the scar, and some active eye squinting exercises to strengthen the lower lid muscles may raise the lower lid over the next few months so as to avoid any new procedures.  Your plastic surgeon knows exactly what was done at surgery and would be in the best position to examine and advise you

My personal routine in this situation is for office revision of both lower lids, right more than left, to mobilize the lower lids upward and re-do the canthopexies.  you are looking slightly upward in the submitted photo, so if the left lower lid is in good position in forward gaze, best leave it as is.

Four months after surgery is a good time frame to judge the effects of surgery.  Transcutaneous lower eyelid surgery damages the muscle that helps hold the lower eyelid margin in place against the eye.  Removal of skin and scaring from surgery has created a vertical height issue in the right lower eyelid.  Surgeons lacking post-blepharolasty reconstructive surgery experience commonly err thinking that this type of situation can be improved or cured by "putting a stitch in the corner of the eyelid."  They believe this because they have sat through numerous lectures suggesting that a canthopexy will strengthen and support the lower eyelid.  Unfortunately this is largely wishful thinking.  The laws of topology dictate that the shortest path on a curved surface is not a straight line but a curved path called a geodesic.  In ordinary life we most commonly encounter this type of mathematical relationship when we take a polar flight from a North American City to a City in Europe.  When the plastic surgeon attempts to horizontally shorten the lower eyelid with the stitch which effectively tightens the lower eyelid, the surgeon is surprised when after the procedure the lower eyelid is actually worse than before.  This is because the cathopexy effectively shorten the lower eyelid which must now follow an even shorter path around the eye.  This shorter geodesic is even lower on the eye.  Like Dr. Taban, I recommend that you find an expert in the correction of this type of lower eyelid issue and pass on a repair you have been offered.  Your surgeon means well but the proposed procedure can make you worse rather than better.  You need an oculoplastic surgoen who offers specialized methods for fixing the lower eyelid contour and position after aesthetic blepharoplasty.