We have been doing blepharoplasty for more than 30 years now. In the last 30 years, we cannot recall even a single patient, who had eyelid swelling for such a long time and who was otherwise healthy. You need a revision blepharoplasty of lower lids for the hidden fat pads, which have become more prominent after your surgery. There can also be hypertrophic orbicularis oris muscle and both fat and muscle need to be addressed properly in order to achieve excellent results. Our plastic surgeon, Dr H A Khawaja, has developed the "KHAWAJA'S NON_SWELLING BLEPHAROPLASTY", an excellent technique, in which you walk out of the clinic after your blepharoplasty, with no swelling at all. The technique has been extensively published in the form of articles and book chapters in various cosmetic surgery books and Meso-American Journal of Cosmetic Surgery on-line.