Ptosis surgery is a type of surgery where predictability is tricky. As an oculoplastic surgeon, we want to achieve the appropriate height, contour, symmetry and the aesthetics of the eyelid. When I perform ptosis surgery, I allow the patient to be awake during the surgery. Although they won’t feel anything because the area is numb, I’ll let them open and close their eyes and I’ll even sit them up during the surgery. This is the best way to predict the outcome because the muscle is very sensitive, and the eyelid backbone and tissue are so delicate they can be easily affected by a variety of factors. In every ptosis operation, there is a possibility of under-correction when the eyelid is too low, or overcorrection when the eyelid is too high. Only your doctor knows what happened during the surgery. Sometimes the surgeon will overcorrect because they anticipate the eyelid will come down after some time. When I do a ptosis evaluation, I measure the levator muscle function to assess the strength of the muscle that lifts the eyelid. When the muscle is weaker, I sometimes over-correct because the muscle is weak and there’s a tendency for the eyelid to drop down a bit. When a person has normal levator function, I try to make the eyes relatively symmetric during the surgery because I expect after healing there’ll be some stabilization. In the normal human population, there is always a 1-2mm difference of eyelid height between the two eyes. As long as you are within that range, that’s acceptable. In your case, your doctor will be able to guide you as to why you look the way you do and whether or not this is a case of someone who is overcorrected. If that’s the case, the timing for an enhancement is something that your doctor will help you decide. In my practice, I usually wait for swelling to resolve to a reasonable level so that I can work on tissue that isn’t swollen. I do my enhancements on a case-by-case basis. Clearly with this photo, there is a difference between the two eyes - the right eye definitely does look more open and round, but without other information it is difficult to make a prediction. I think that communicating with your doctor will help you move forward to do whatever is necessary. Sometime after ptosis surgery, a little massage will help stretch the tissue out and allow for a some of decent. I’ve had patients who initially looked overcorrected, but with some time it came down to a point where it looked appropriate. I think that you should keep the faith and maintain communication with your doctor. Work with the doctor about moving forward with any other adjustments that may be required later on. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.