Cicatricial eyelid retraction after transcutaneous blepharoplasty
There is no best way to massage the eyelid. You can certainly try direct massage. Time is also your friend. If the eyelid is still retracted after 3 months, see an oculoplastic specialist. You have cicatricial eyelid retraction.
First, I am so sorry you are having an issue after cosmetic eyelid surgery.
Buccal fat excision is seldom performed anymore. We know understand that this fat is an important facial resource. Regarding the lower eyelid retraction, no amount of "massage" will fix or resolve the lower eyelid retraction you are experiencing. Please do not torture yourself with painful tissue manipulation that has no hope of accomplishing anything positive for these eyelids. Now you might benefit from a limited amount of kenalog and 5-FU to the eyelid scar tissue. You need careful assessment regarding the management of dry eye and chronic corneal exposure which can be associated with retracted eyelids. This area needs to heal for 6 to 12 months and then you will need definitive reconstruction for these eyelids.