Help Me Please, my Eyes Look Much Worst After a Upper and Lower Blepharoplasty? (photo)

Pathetically, your surgeon is probably very proud of the result and thinks you are crazy.  In the before photo, you have a beautiful full subbrow area.  Unfortunately this fold of tissue is targeted by surgeons who have been commonly but incorrectly trained to excise as much of this tissue as possible with upper blepharoplasty.  This robs you of your natural fullness here which is a highly under appreciated area the contributes to a more youthful eye appearance.  In the before photo, to compensate for the heavy upper eyelid fold, you compensate by holding the brows up (we do this without thinking about it).  When the fold is removed, the brows fall creating a cross (as in angry) look.  The lower eyelid surgery has hollowed the lower eyelid.  There are things that can be done to soften the effects of this surgery but you won't find this type of help anywhere in Europe.  I recommend that you allow yourself to heal for at least 6 months before deciding how to proceed next.  Unfortunately it will be very difficult ( most likely impossible) for your surgeon to understand what you don't like about the surgery.  It is my experience that the original surgeon is too invested in the surgery to see the forest for the trees.

There are three fat pads in the lower lid.  You had adequate removal of the medial and middle fat but the lateral fat pads are full and accentuated by the removal of the other two. This can be fixed with some further removal of the lateral fat pads.  But wait a few months for the tissues to soften and become mobile for best results.  As we age, the fullness of the cheeks begins to sag leaving a hollow between the lower lids and the cheek.  This can be addressed when one has a facelift, or with fillers or fat grafting if you are not ready for a facelift. Best wishes. Knowledge is power.  Luis F. Villar MD FACS