It seems that you have sleepy and astmmetry eyes. I would like to recommend full incisional double eyelid + ptosis correction + medial canthoplasty to correct your sleepy eyes and make your eyes even and fresh. After those surgeries, the distance of your eyebrows and the eyes would be closer, so...
I am sorry for your problems. Unfortunately, this is some koi why I do not do transconjunctival lower blepharoplasty. The "lump" is the lower lateral fat pad. There are ways to reduce it surgically, but they have risks of causing lower lid descent. What you need now is fat grafting or filler to...
Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat. An in-person exam would provide a more accurate diagnosis, but preliminarily based on your photos it does appear you have pseudoherniation of fat creating "eye bags.” They should also b...