Not happy w upper/lower bleph (Photo)

You can consider further revision to remove excess skin or perhaps Morpheus8 treatments to tighten the skin and improve overall tone and texture. See your surgeon or another board certified plastic surgeon near you for an evaluation.

Are all your photos after images? It is very helpful to have photos that are taken looking straight ahead. In these photos you are looking down. Your issues have nothing to do with "lymphatic drainage." The lower eyelid bag on bag is from chronic skin and connective tissue from sun and oxidative tissue damage. These do not respond well to standard lower eyelid surgery. In some patients an extended transcutaneous skin flap is needed to allow resuspension of the lower eyelid orbicularis oculi muscle to the lateral orbital rim periosteum. In some cases a phenol 89% chemical peel is helpful. Generally a detailed in person assessment is helpful to formulate the best approach. What is not helpful here is fat grafting, threads, or a temple lift. I understand your concerns about fillers and I suspect that you will need revisional surgery. However, don't throw the baby out with the bathwater. There may be a limited role for hyaluronic fillers in the future.

Unfortunately, topical medications such as tretinoin will not help much. You could try oral bromelain which helps with swelling, however I think the improvement will be limited. For persistent peri-orbital edema, radiofrequency microneedling (like Morpheus8 or Matrix RF) is a nice option with less downtime than laser. It can tighten skin and is second only to laser in its ability to tighten the skin (the laser settings must be appropriate to address skin tightening). Laser requires attentive care afterward, but it improves the quality of skin significantly and the newest studies show that laser actually reverses DNA damage due to aging. Aside from those, nanofat injection uses stem cells to promote the self-healing capability of the body.