Under eyes look horrible after lower blepharoplasty - would fat grafting or skin removal be an option? (Photo)

I had lower blepharoplasty performed by an ocuplastic surgeon 8 months ago. After the swelling went down I noticed the skin was loose and my eyes looked hollow. I had filler 3 months ago via a highly recommended dermatologist but it seems to have migrated down a bit and my eyes are hollow again. The skin under my eyes and around my tear troughs/uppercheek bunches up a lot when I smile. I feel like I look like a very tired chipmunk. Would fat grafting or skin removal be an option?