Is Ptosis after upper and lower blepharoplasty caused by mistake during surgery? Will it resolve on its own? (photo)

The tendon that raise the upper eyelid is very thin in some people.  It certainly can be inadvertently damaged during eyelid surgery and this is common but it usually does not cause ptosis.  However, the tendon is really held in the eyelid with very thin tissue and even the swelling associated with the surgery can cause ptosis after eyelid surgery.  Generally you should let this heal a very long time before having a repair.  The rationale for this is that many of these droopy eyelids do get better on their own.  I recommend letting this heal for at least a couple of months.  Generally it is best to let the tissues heal at least 6 months to increase the accuracy of the repair.  I do make an exception to this timing if there is evidence of a tethered ptosis with corneal exposure and irritation of the cornea.

It appears that there is some eyelid lag and ptosis of the RUL. This could be thought to scarring of levator muscle to septum. Please, return to your surgeon and explained your problem. Sometime just little injecting of Kenalog-40 can help extensively.