6 days post surgery my Wife has significant Lower Eyelid sagging aka "Scalero Show" in the outer portion of each eyelid. (photo)

It is not a desired result.  It is not an intentional result.  But it is a known effect of this type of surgery.  The literature on this subject is very confusing even to surgeons who seem to do a lot of lower eyelid surgery.  Here is the dilemma.  The plastic surgery literature contains important papers by leading surgeons supporting the use of this approach when performing lower eyelid surgery.  This may be done in conjunction with a lateral canthal procedure to support the lower eyelid.  Here is the problem, many surgeons were trained to perform surgery in this fashion.  They feel it is effective at addressing both the lower eyelid fullness from herniated orbital fat and to remove excess skin in the lower eyelid that causes wrinkles.  Unfortunately, this surgery interferes with the delicate balance of the lower eyelid.  Along the lower eyelid is a portion of the orbicularis oculi muscle that supports the edge of the lower eyelid.  Think of it as functioning as a hammock.  Well regarded papers in the peer reviewed plastic surgery literature advise surgeons that the nerves to this muscle come into the eyelid from the side and that it is safe to make a cut in the skin and muscle just below the lower eyelid eyelashes.  This skin muscle incision leads to significant damage to the motor nerves that supply this bit of orbicularis oculi muscle.  That is because the nerves to not enter the eyelid from the side.  There is a more substantial body of anatomic work that shows that these motor nerves reach the edge of the eyelid perpendicular to the eyelid margin.  I agree with this work and believe that the skin muscle incision results in a motor nerve injury that weakens the hammock function of the lower eyelid.  Now it is a bit more complicated.  The canthal surgery done to support the lower eyelid can actually shorten the lower eyelid margin.  This leads to the lower eyelid being pulled down further on the eye surface due to the topology of the eye being spherical.  Also since the upper eyelid is tethered to the lower eyelid at the lateral canthal angle, one other issue is seen in your wife's pictures-the tethered lateral corner of the eye effective pulled the upper eyelid down.Now, will these issues get better with time.  Well, the truth is that most everything does improve with time.  However, in studying these pictures, I suspect that revisional work may be necessary to make these lower eyelid satisfactory.  I would strongly advise you against letting a surgeon further shorten the lower eyelid (sometimes described as a tuck).  Fixing these situations and staying out of these troubles requires a great deal of operative judgement.  I think minor interventions such as taping the lower eyelid and, when the eyelid has healed sufficiently, message of the eyelid can provide some help.  Ultimately, if the eyelids do not heal in a satisfactory manner, it is critical not to use up the remaining eyelid resources with well intentioned surgery that will not accomplish what is needs but rather have a definitive correction 6 to 12 months after the initial surgery. 

Hi. The lower eyelids are pulled down, from tight skin and possibly weaker muscle closure. It is best to wait at least 3 months before considering any corrective surgery. In the meantime, lubricate your eyes and do squinting eye exercises.  See an oculoplastic specialist.

is certainly not a desired result and you should be in contact with your surgeon as to what you should do to manage this and how best to protect your exposed globes.  Your surgeon is best equipped to know if you should ride this out with massage and external support or if early intervention may be needed (some of us save the skin for such problems).  It is imperative the globe be protected from excessive exposures at this time.