Usually puffy lids resolve after surgery. Often, pre-existing bags under the lids are more obvious without glasses to hide them.Before and after pictures would really be useful here.
The acrylic material of the most commonly used intra-ocular lenses has this cosmetic side effect.
Some people call it "Terminator Eye". The only way to get rid of this cosmetic issue is to exchange the lens for another one of different material. It's low risk but not now risk to...
I do both cataract surgery and botox. I have even done both on the same day. There may be very rare situations where that wouldn't be advisable--so ask you cataract surgeon.
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