Trich long term eye damage

I had trich since I was around 12-13 , I'm 25 now.
My picking was mainly focused on my eyelashes, I had huge periods where I had no lashes at all and would frantically pick at even the smallest regrowing hair.
The trich it self seems to have calmed down massively but it's the after effects that are now weighing heavy on me.
My eyelids and the area above below my eyebrows have suffered, the constant pressure and trauma has made my eyelids puffy and sometimes they go a deep red I can't stand the sight of them, they make me look dopey and tired, people are always commenting if I've had a good nights sleep or not or that I don't look very healthy.
Of course if I Don't get a good nights sleep or drink alcohol they get worse but even when I'm living very healthily, my puffy eyes always remain.
I'm wondering what kind of treatment I could get to rectify this?
I understand I probably won't get very far with creams but would love someone who maybe has the same issue as me to prove me wrong.
If not what are the other options apart from surgery?
Please help.
Thanks for reading.