Uneven eyelids after Blepharoplasty

I am three weeks today post-op from upper/lower blepharoplasty, outside incisions. There has been no change in my eye size difference, one being bigger than the other. It has been this way since day of surgery. My left upper eyelid is noticeably bigger than my right. Is it still swelling at this point, or will I likely need a revision?

Uneven eyelids after Blepharoplasty
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10 answers to “Uneven eyelids after Blepharoplasty”

A: Allow full healing to take place

William Portuese, MD

Even though it has been only three weeks postoperative for upper and lower blepharoplasty, there is still some swelling left in the eyelids. A formal decision cannot be made at this point between the asymmetry on the eyelids. Asymmetry on the eyelids is a natural phenomenon, which can be either made better... more

A: Lid assymmetric pre op - Blepharoplasty

Richard Gentile, MD

I agree with those surgeons noting the asymmetry of your eyes preoperatively. This may affect incision placement.  As time goes by this should not be a big factor.  

A: What was done?

Christopher L. Hess, MD

You look like an attractive woman in her 20's.  Preoperatively I see bilateral lower lid, congenital, ectropion but with asymmetry.  Upper lids had good position with no excess skin.  Brows are in good position. Postoperatively I see bilateral lower lid ectropian but now with upper lid ptosis,... more

A: You have pre-existing asymmetries, but also looks like asymmetric incision

David Shafer, MD

You have pre-existing asymmetries that are accentuating the post-surgical differences. However, in your eyes-closed post-op view, it appears that that is a distinct asymmetry in the distance between your upper eyelid margin and the incision. The distance is greater in your left eye (right side of the... more

A: Best to allow yourself to heal after Blepharoplasty

Philip Young, MD

I see that you have a difference in the height of your fold. This could be due to many reasons. Waiting could be helpful to allow yourself to heal. Many times, this can allow your eyes to even out if there is any residual swelling contributing to the difference. If there is a persistence of this difference... more

A: Time will help some of these issues but not others

Kenneth D. Steinsapir, MD

Dear Daisy, We like to say that if you tell the patient before surgery it is an explanation but if you tell them after surgery, its sounds like an excuse. Your photos are helpful but it would be even more interesting to also have the before pictures. I agree with Dr. Moellenken that you have facial asymmetry,... more

A: Wait another 3 months after Blepharoplasty before evaluating

Francisco Canales, MD

Hello Daisy, As someone who has asymmetric eyes himself and who had eyelid surgery, I can tell you that differences in the eyes are there before surgery and remain after surgery. Three weeks is too early to worry. I am not sure what you mean by your left eyelid being noticeably bigger. I do see that the scar... more

A: Orbital dystopia

Brent Moelleken, MD

Of course you are quite early arfter surgery and should wait before making any decisions on the final outcome. However, your eyes are asymmetric.  Your left eye appears more prominent and higher.  This is a result of the eyeball in the eye bone socket, and is not affected at all by surgery.  So... more

A: Eyebrow positions are different and can affect appearance

E. Anthony Musarra II, MD

Your eyebrow is lower than the left, which exposes more of your left upper eyelid than your right. This makes a lot of difference. You are still early in your recovery. Things will probably be more equal in another few weeks.  An eyebrow lift for the right side is a possibility, however it is very... more

A: wait

Kamran Khoobehi, MD

You still have swelling post surgery and result will improve. The other point is the position of your eyebrow. Your right eye brow is lower and this makes the difference between the eyes more prononced. Nobody has a symmetrical face and from what I see you have a good result.

Comments

daisy83461
26 posts
20 Mar 2009

It wasn't noticeable before surgery. The brow was, but not the eyelid size difference. Also, I could just about swear that my right eyelid was bigger prior to surgery. It looks bigger even in my pre-op photo. Is that possible? It looks as though it either got smaller, or didn't change at all.

daisy83461
26 posts
20 Mar 2009

Is there a way I can add a before picture to this question?

Sharon from RealSelf
1408 posts
20 Mar 2009

Hi Daisy, Email me the photo and I'll add it for you. Cheers, --Sharon

dke46
10 posts
10 Apr 2009

Similar situation to mine. I had eyelid surgery along with brow lift 3 weeks ago one eye appears larger than the other. Then are some sutures on sided still for an upward lift . I am afraid he did not leave an even look.

Mississippi
3 posts
11 May 2009

This is exactly how my eyelids look too, at two wks postop- one is several mm taller than the other. I only had the upper lids done. Any lay person could note the asymmetry. I am disappointed. I paid 3k for this. I am going to let this heal and then find a different PS to do a revision. Oddly, the "Cher" eye is droopy at the outer corner. Why?

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