Upper Eyelid Blepharoplasty: One Eye Wont Open? (photo)

Injuring the levator palpebra superioris muscle in blepharoplasty surgery is rare.  Accidently sewing the movable levator to the orbital septum not so uncommon.  When this is done the eyelid is no longer free to open all the way.  The real test here would be if the right upper eyelid hangs up in down gaze compared to the left side.  This can't be determined by the photos you provided.  I recommend seeing an academic oculoplastic surgeon such as Don Kikkawa, M.D. or Bobby Korn M.D. at UC San Diego Shiley Eye Center.  They can see you and immediately determine if something serious is going on or otherwise reassure you so you can continue to be taken care by your plastic surgeon.  Explain your situation to their intake person and ask for an urgent appointment.

The muscle responsible for opening the upper eyelid is called the levator palpebrae (usually called just the levator).  It attaches to the upper eyelid immediately deep to the skin removed with an upper blepharoplasty.  This could be a temporary result of the local anesthesia, swelling of the muscle, or accidental detachment of the muscle from the eyelid.  The first two conditions should resolve on their own within a couple days or weeks.  The third possibility would need to be surgically repaired.  Hope that helps.

Best case scenario it is edema in the lid so further healing time will alleviate. Or you have lag opthalmus condition that self corrects in a few months, ask your surgeon. Or a worst case scenario is damage to the levitator superiors function, again discuss with your surgeon. Better yet obtain eye doctor evaluation.