One of the major complications of lower blepharoplasty surgery (cosmetic lower lid surgery) is lower lid retraction (pulled down lids). Lower eyelid retraction leads to the white showing under the iris (colored part of the eyes). This called scleral show (sclera is white part of eyes). When this occurs the eyes become red, irritated, and dry. The dry eyes can lead to reflexive tearing. Repairing this condition (lower eyelid retraction) requires a specialist in eyelid surgery who is well trained in procedures such as canthoplasty surgery (open link) http://drmassry.com/#/1-1, canthopexy surgery, and midface lift surgery (open link) http://drmassry.com/#/1-0 .
Below is an example of a woman who had lower lid retraction (pulled down lower lids) from surgery by another surgeon. On the right are her photos after repair (canthoplasty surgery, midface lift surgery) by Dr. Massry.