Is This Normal? Upper Eyelid Surgery Results 4 Weeks Post-op (photos)

Thanks for asking. Your upper eyelids look normal one month after surgery. Keep up with your icing protocol, avoid excessive sun exposure and give it some time. The redness that is anxiety provoking will go away. Congrats on your transformation.

After any surgery, different patients heal at different rates. After having upper eyelid blepharoplasty, it is not uncommon to have residual skin and fullness until all of the swelling and bruising has resolved. 4 weeks is still relatively early in the healing process. Other factors that can be the source of residual skin and fullness may be related to coincidental forehead or brow ptosis (sagging).

Swelling after upper eyelid surgery (upper blepharoplasty) can persist for several weeks with most of the swelling gone by 10-12 weeks.  Gentle massage can help hasten the resolution of the swelling.  Be sure to stay in touch with your doctor with any concerns.

Your photos are not really the best for evaluating the result.  Bottom line is that in the before photo you have a great deal of brow ptosis and a compensatory muscular brow lift.  In the after photo, your brow has now a relaxed appearance.  This will cause a slight fall in the eyebrow position but overall can make for a relaxed look.  Do you need more skin removed or a forehead lift?  It is best to be patient and discuss the overall result with a couple of more months of healing.

Your eyelids look very appropriate for this early after surgery. Furthermore the fullness that you are mentioning on the outer corners is not an eyelid issue: It is an eyebrow issue. You have very full eyebrows which is actually a sign of youth. In some patients, I might recommend a browlift to help with the fullness, but in your case, your actual eyebrow position is quite natural and raising them further would make the arch too dramatic, in my opinon.

Wait another couple months and I think as the residual swelling resolves, you will be happy with your result.