Still Droopy Eight Weeks After Upper Blepharoplasty

There are two common situations following eyelid surgery that you are potentially describing.  The first is actual upper eyelid ptosis were the upper eyelid margin where the eyelashes live has drooped as a result of the tendon that raises the eyelid having slipped from surgery or swelling from surgery.  The other situation is after having skin removed from the upper eyelid fold, the muscles that support the eyebrow relax allowing the eyebrow to fall increasing lateral hooding.  

Distinguishing these two situation may require an assessment by your surgeon.  Also be aware that while your surgeon may have been qualified to perform the original cosmetic surgery on the eyelid, fixing whatever problem that you may be experiencing after surgery may require an actual eyelid specialist.

Upper eyelid drooping after a blepharoplasty is most commonly due to drooping of the outer, or lateral, brow.  It is simply not wise to make a long lateral incision when doing the upper blepharoplasty since the scar would be very visible.

We often prefer to use a nerve sparing lateral browlift to address this problem.  Endoscopic surgery is also an option.

The good news is that a lateral browlift can be done later; you haven't burned any bridges by not doing it while you had your eyes done.  However, most patients will choose to do both procedures together.

Referenced below is a book chapter on the subject.

 it can be normal to have asymmetry within the first six months after eyelid surgery that will resolve.  If it has not improved by six months, I recommend that you see your surgeon and discuss options for improvement. Good luck. 

I recommend waiting at least 3 months before considering a revision after blepharoplasty – as far as droopy lids. Sometimes it takes that long for the swelling to completely go down and for the final result to become evident. 

While it is still too early to make any decisions on revision eyelid surgery, there can be edema in the lateral corners of the eyelids. Wait at least three to four months before making any decisions on tuck eyelid surgery at this point. Full edema and swelling usually subsides by four months after the procedure.