I tell my patients that swelling and bruising can often look worse on day 2-4 then on the first postop day. Your swelling is most apparent between the lid crease and lid margin and this is common after posterior approach ptosis surgery. This can indeed cause a mechanical ptosis due to increase weight, but also because the lid becomes thick decreasing its movement. While it is possible that your lid may not look quite as good as it did on day 1, it is more likely that it will look great in 4-6 weeks when the swelling has subsided.
- Your surgeon is right, swelling can push the lid down.
- Your final result is not apparent until 6 months but the improvement should be apparent at 6 weeks,
- Best wishes.