What causes instant swelling around cut?

Dear Pekkle, Not sure what your surgeon was addressing with the kenalog injection. I personally do not use steroid injections under the eyes and have no need for it in my post operative patients. Discuss your concerns with your surgeon. Best regards, Michael V. Elam, M.D.

The most significant issue here is upper eyelid ptosis.  You also have a compensatory brow elevation.  Blepharoplasty only removes skin muscle and fat.  This type of surgery will basically deform you and leave you looking surgical.  You have significant upper eyelid ptosis.  The ptosis must be c...

Dear luckyladybug, An in office consultation will be best to discuss your desired results and what is and is not attainable with surgery. A rhinoplasty and conservative upper lid blepharoplasty will help feminize your face and bring a nice balance to your features however you will not look ...

Transconjunctival lower blepharoplasty diminishes the fat pads in the lower eyelids and does not treat the skin. At the same time, laser resurfacing can be performed to smooth out the lower eyelid skin. A lower blepharoplasty can deal with excessive skin fat in the lower eyelids. With this...

Those are normal blood vessels.  I do not recommend messing with them.  No one notices those but you.  Your eyelids need those vessels.  If a goofball tried to laser them close, there is a risk that the eye could be harmed. Just forget about it. 

You don't have wide set eyes  (hypertelorism).  Makeup and filler injections can be used to give the illusion of narrowing this space.