Don't forget about the brows!

One of the most overlooked contributions to excess upper eyelid skin is the postion of the brow. Interestingly, it is common for one brow to be lower than the other, creating more extra eyelid skin on one side. This is something I point out to patients before any eyelid procedure, and I will often recommend a brow lift with blepharoplasty. If there was no difference in brow height before surgery, asymmetric skin removal is another possible cause of your concern. Undetected eyelid droop (blepharoptosis) or inadvertant muscle tendon injury during the procedure itself are other unusual causes. Swelling as a cause of this difference would be uncommon after 1 month. Overall, blepharoplasty is a very high-satisfaction procedure.