Sclera show and lateral rounding after lower blepharoplasty (7 weeks post op) what will fix this? (photos)

You do have lower eyelid retraction with sclera show and rounding of the eyes. Lower eyelid retraction surgery to create more natural almond shaped eyes is possible. See an experienced oculoplastic surgeon. But do understands that it is NOT just canthoplasty. Also, it may or may not require spacer graft as I have recently published. You can find manuscript on my website link.

You do indeed have mild bilateral lower eyelid retraction after your blepharoplasty. This is not an uncommon occurrence and is due to some scarring in the middle layer of the eyelid. Massage the outer lower eyelid margin upward several times daily. With time, this mild post-operative change may be improve. Allow a minimum of six months to heal and re-evaluate. Reconstructive surgery may involve re-suspending the eyelid, releasing scar tissue and possibly placing a graft of tissue. It is not the most straight-forward solution so it is definitely better to be a little patient and give your body time to heal. Definitely see an oculoplastic surgeon experienced in such cases. Good luck. 

However, if that is the worst of the change, this is pretty subtle.  I think there is not harm to carefully done lid massage that is physician supervised.  Repairing the lower eyelid is very expensive and fussy. Unless there is dry eye symptoms or the issue is worse than what you captured in these photos, it may not be worth spending the time and money to fix these.  The eye sadness is more related to your post upper blepharoplasty syndrome that affects the upper eyelid with ptosis, lash ptosis, and a hollow upper eyelid sulcus.  The shading of the cornea makes the eyes look dull.  That can be helped with reconstructive surgery.  While there are many talented oculoplastic surgeons in your area, they are not dedicated to post aesthetic surgery reconstruction.  Let the eyelids heal 6 to 12 months before having revisional surgery.  Your current surgeon does not have the skills to perform this work.

You do have some scleral show, worse on the left.  This may improve over the next couple of months.  Try some warm compresses and massage the outer part of the lid upwards.  If at 6 months you are still low, can have a revision done.  See an oculoplastic surgeon - there are several good ones in your area. 

Thank you for your question.  And for providing photos.  You should ALWAYS see an ophthalmic plastic surgeon if you are considering any type of eyelid surgery or revision as the depth of our training is probably a thousand times greater for this anatomic area than that of a general plastic surgeon.  It is possible that you might have to have lateral canthoplasties in the future.  But I believe there is an excellent chance for your eyelids to return back to their pleasing preop shape and positions.  Give it a full six months from surgery and do eyelid pushups (push up and in gently on the lateral corners) while waiting.  Good luck!

You have some lower lid issues, but it is early and often massage of the lower lid will improve this. Review the care with your doctor as he/she is the one treating you and the best to offer advice.

I agree that your eye shape seems to confer a sad appearance.  However, you must allow enough time for healing.  It takes 6 months to 1 year to heal fully from lower eyelid surgery and its not fair to you or your surgeon to judge so soon. Eyelid surgery is always best performed in the hands of a board certified, fellowship trained Oculofacial Plastic Surgeon who specializes in cosmetic surgery, and in lower eyelid surgery specifically.  Correcting the canthus and lower eyelid and cheek, if necessary, will require a master's hand. But please allow time to heal first! Gentle massage can sometimes assist the canthal position -- please discuss with your surgeon and good luck.