A detailed, in person exam is necessary to make an appropriate plan. However, sometimes the uneven contour of the lower lid following blepharoplasty and fat transposition is due to inflammation of the fat itself. If this is the case, an injection of a small volume of anti-inflammatory medication...
I suggest following up with your physician. If you have existing ptosis, neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) could potentially worsen your condition. Regardless, the effects of these products will diminish in 6 to 12 months, so it should all resolve in time. Best, Dr. Emer.
From the photos it appears you have significant left upper lid ptosis (droopy upper lid). If a muellerectomy did not work then an external levator resection is your next step to improve the eyelid symmetry.
