Had under eye lift. Looks terrible. Why have wrinkles appeared?

In lower lid surgery mostly fat is removed. If a lot of skin is removed it can cause serious complications like ectropion etc. The left over skin can wrinkle more from stretching that happens secondary to swelling after surgery. It can be improved with a CO2 laser or a chemical peel. Botox might help but only a little and is temporary. RegardsDr JDisclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

If your wrinkles are on the outer
part of your eye botox would be the best remedy for it.Other things like a simple eye cream can firm
the area or a treatment with a CO2 Laser can help as well.

The technique could influence the outcome.  Regardless, now that you are where you are, your surgeon should be able to help provide options for you to consider.  If your wrinkling is from hyperdynamic muscles, Botox would be the answer.  If from excess skin, some kind of resurfacing or pinch blepharoplasty would improve your situation.  When I do lower lids (I prefer the transconjunctival, arcus release, fat preservation methods), laser of the lower lids is considered routine as part of that procedure.

Eye wrinkles at outside corners are usually caused by muscle action and not changed with surgery. Botox is best option. Lower lid wrinkles can best be treated with laser resurfacing.