Does Lower Blepharoplasty Cause Swelling on Top of Cheek Area?

There is always some swelling or fluid retention after surgery is performed, regardless of the technique or location of the procedure. In the face, there are typical collection zones for extra swelling and tissue fluid. In the eye area, swelling collects in a region called malar bags, cheek bags, or festoons. This is located where the eye socket meets the cheek bone. This swelling is normal and will improve in time. Ensuring that you eat a low salt diet will help reduce fluid retention in that area. Sometimes light massage over the bags out toward the ear can help push out the fluid. I would wait at least 8-12 weeks after surgery before deciding if anything further should be done.

Following a lower eyelid blepharoplasty, there is always swelling of the eyelids that migrates inferiorly to the cheek area. Fourteen days post surgery is still considered in the immediate postoperative period. The degree of swelling varies from person to person and procedure to procedure. With time, weeks to months, the swelling should gradually reduce and abate.
 

What you are describing is very common after lower blepharoplasty. It may take 2-3 months to resolve, depending on what type of lower eyelid surgery was performed. I recommend patience.