Festoons caused by mid-face lift: is there a solution? (Photo)

I'm not certain why a woman in her early 30s would need a facelift of any kind. The problem with the midface lift is that it violates the support structure between the lower lid in the cheek. This can create lid problems as well as midface asymmetries. Recommendations for correction would not be possible based on the information provided. You should go to skilled and experienced in correction of these problems. Make certain to get several opinions.

Festoons are structural and cannot be improved with eyelid surgery or lymphatic drainage. Filler injections below into the depression is likely your best option. Otherwise direct excision which causes unacceptable scarring.

Sorry to learn about the problems that you are experiencing. The pictures show uneven eyelid openings as the right eye is appearing smaller. This is mostly because the lid margin sits higher on that side. It does look like swelling and if you say it appeared a year ago, it probably wasn't caused by the surgery as these problems happen immediately after the surgery and not a year and a half later. Your right eyeball seems to be sitting higher. I wonder if this condition existed before. You have to see if your diet or medical condition could explain this. I would check with your internist. Is this better at certain times of the day? Does it change from day to day? It would be good to see your pictures before the operation. The right lid margin could be lowered by removing some skin. The swelling can sometimes be improved by injecting fillers below it, but you have to determine the cause first. You also have to make sure it is not caused by a filler that was injected a year ago. I you had an HA based filler it could be reversed. Radiesse would last a lot longer to go away.