Can I fix these pinched outer lids?

I’m sorry you are unhappy with your eyelid procedure. Difficult to tell without seeing you in person. Typically, scarring and the “pinched” sensation does improve with time (6 months). Botox would be a good starting point. Depending on your response to the neurotoxin, a temporal browlift could help. You need an in person consultation to discuss your best options.

I looked at your photo before reading your question, and it was not readily obvious to me that you had blepharoplasty surgery. You appear to have a pleasing upper eyelid appearance. Generally, I do not recommend injectable fillers in the upper eyelid area since the skin is so thin. Your brows appear to be at a good height. I understand that you're dissatisfied. Perhaps consider re-asking you a question with before and after photos. I hope this helps. Sincerely, Dr. Joseph

There is simply no substitute for a detailed, in person assessment. You need to meet with a highly qualified surgeon who is in the business of revising eyelid surgery. What I notice when I look at this photo is that you have upper eyelid ptosis. However, during a consultation, a lot of listening is essential to understand what is bothering you. I would not get a "botox brow lift." You are just rolling the dice. That service will not fix your upper eyelid ptosis and may very well complicate your situation. Please don't dig a deeper hole. Yes there is help. Your eyes can be your best feature.