Eyes look smaller and more almond-shaped after lower bleph. What is causing my issues?

I had transconjuctival under eye fat repositioning at a Korean clinic about 4 months ago and my eyes look about 10% smaller with the outer corners having a slight slant. The doctor thinned out the fat that sits directly underneath my eyes that gives it shape and structure to make the underlying muscle more visible. I believe this is called pretarsal fat or aegyo sal and I did not ask him to alter this. Is this what is causing my issues or am I still healing?