Post-op Upper Blepharoplasty - Will I Ever Be Able to Look Up Normally Again?

It is possible that this is due to swelling in the postoperative period but it may also be due to injury to the inferior oblique muscle during lower lid blepharoplasty.  The secondary function of this muscle is actually elevation of the eye and so injury to it would result in the inability to look up.  The primary function is excylotorsion.  Patients also note double vision that is worse when looking down/ reading.  You may want to consider evaluation by an oculoplastic surgeon or ophthalmologist if this does not improve as your swelling improves.  orlandoeyeopener.

Regarding: "Post-op Upper Blepharoplasty - Will I Ever Be Able to Look Up Normally Again?
I am 40 yo. I had upper and lower blepharoplasty surgery 2 weeks ago and my eyelids don't quite follow my eyes when I look all the way up. As a result when looking up I look really weird. Will I ever be able to look up normally again, after my upper eyeid blepharoplasty?"

An uncomplicated upper lid Blepharoplasty should NOT be associated with extensive swelling which interferes with movement of the upper lid as far as 2 weeks after surgery. "Weird" does not quite precisely describe two scenarios that need to be considered:
- IF the in course of the upper lid surgery the insertion of the muscle lifting the upper lid (Levator aponeurosis) was injured or cut) you could have sagging upper lids with difficulty getting them to raise.
- If in the course of the lower lid operation your surgeon injured one of lower lid eye muscles (inferior oblique) you could have a hard time looking down when going down stairs.

You need to discuss this with your surgeon.

Dr. Peter Aldea