Can the nerves have been cut while having cataract surgery that would cause saggy and puffy skin under eyes?

 No, a lower blepharoplasty will not improve nasolabial folds. The  primary goal of lower eyelid surgery is to remove the fat bags creating the puffy look. The  secondary goal is to remove any excess skin present at rest in patients are usually over 50 years of age

Many lesions that are removed from the upper or lower eyelids can result in notching of the eyelids after it heals.  Any post-surgical deformity is important to avoid, and you should speak with a facial or oculoplastic surgeon that operates around the eyelids often.  That being said,...

You have a straightforward partial separation of the muscle that raises the eyelid from the cartilage plate that stiffens the edge of the upper eyelid. That could be easily addressed through a ptosis repair that could be done by an oculoplastic surgeon or plastic surgeon experienced in eyelid...

Thank you for your question and picture.  Without examine its hard to tell whether there is enough excessive skin for it too be removed.  Or it could be you are developing an acquired ptosis.  Please make sure you find a reputable and qualified plastic surgeon.  All The Best 

You may have swelling, which can last 1-2 weeks after tear trough injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Hi, It looks like the ptosis repair was effective. If you are displeased with the shape of the lid, there are things that can be done to improve it. These vary from massage to re-operation based on the type of repair performed.  I encourage you to keep in close contact with your...