Why do I get these bulges under my eyes when I smile?

The left upper eyelid is slightly heavier than the right upper eyelid.  The creases were made too high and the crease is not well defined.  There is too much skin and muscle left on the upper eyelid platform.  The skin on the eyelid platform needs to be snugged like a bedsheet....

Eyelid skin and its attachments to the deep eyelid tissues (tarsal plate, levator aponeurosis) are very fragile, so it is possible to create long-term changes in your eyelid if you pull off tape aggressively.  That said,,most changes from eyelid tape recover on their own and you should look...

I normally wait 2-3 months after lower eyelid bleph before injecting filler into the lower eyelids. You want to be certain that all the swelling has diminished to a point where it will not alter the amount of filler placed.

There are many causes for an unnatural look after upper blepharoplasty.  Fortunately in most cases the appearance of the eyelids can be significantly  improved.  Seek out an expert plastic surgeon with lots of experience correcting this type of issue.  After a thorough in...

I would probably recommend a touch of HA filler such as Restylane in the tear trough area to fill in the hallow and reduce the appearance of dark circles. Schedule a consultation with a board certified plastic surgeon in your area to discuss. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

You appear to have epicanthal skin folds.This can be addressed surgically.I suggest you seek out an Oculoplastic Surgeon in your area for help with this.I hope this was helpful.