Eyelid Puckering After Upper Bleph. Any suggestions? (photos)

This happens when there is more than 10 mm of excess skin  THere are ways to avoid it but sometimes is very difficult to not to get this if the large amount of skin removed. The surgeon may be able to repair this with performing special procedure in the medial canthal area. 

Based on the limited view of the photo you've posted, I believe a fractionated non-ablative (e.g. 1550 nm) or ablative Erbium or CO2 LASER treatment would improve the skin laxity and irregularity.

Blepharoplasty, or eyelid surgery, is designed to restore the natural appearance of the eyelids.  For some individuals, excess skin and bulging fat of the eyelids are the only age related changes present.  However, for most of us, there are other related changes that occur with the eyelids.  One of the most common changes is the onset of laxity of the tendon at the outside corner of the eyes, known as the lateral canthal tendon.  When this tendon begins to stretch, the outside corner of the eye will begin to loose the sharp angle which creates the almond shaped eye.  In addition, if eyelid surgery is performed, this laxity can result in further rounding of the eyes.  In more severe cases, drooping of the lower eyelid may also occur.To correct this problem, tightening of the lateral canthal tendon, known as a canthoplasty, will restore the natural almond shaped appearance to the eyes.  At the same surgery, the puckering of skin of the upper eyelids can be revised.  These procedures are often performed under local anesthesia with mild sedation.Good luck with your revision!