Unfortunately you will need to speak with a plastic surgeon to determine your best option for eyelid surgery. In general, silicone injections are permanent and the use is off label. There are reactions which can occur after silicone injections and the only way to remove the silicone is with surgery. You have a difficult problem and there is no right or wrong answer. It may take blepharoplasty surgery or a combination of plastic surgery to get the results you wish. Best of luck.

D.J. Verret, MD

Facial Plastic Surgery

http://www.innovationsfps.com