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Thank you for your post. Without seeing pictures of your eyes, I am somewhat limited in my assessment. What you are most likely experiencing is some post-operative swelling around the eye that is making your lower eyelids look puffy and saggy. This would not be the result of nerve injury. How long ago did you have the procedure? With time the issue should resolve.
If you request improvement of your nasolabial folds during a lower blepharoplasty, this can be done at the same time by adding in a mid-face lift or suspension. It is a simple add-on which can dramatically improve the appearance of your mid-face and nasolabial folds.
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...
