Is revision/correction required for my bilateral ptosis surgery? (Photos)

Thank you for sharing your question and posting your photographs. You still seem somewhat swollen. Let another month pass and then judge the results. Good luck!

Best to wait 3 months and communicate with your surgeon. Revision ptosis surgery can be considered at that time.

You are very soon after your Ptosis surgery -- 3 weeks is too early to tell your final result which takes 6 months to a year. That being said, your lids look still very droopy to me -- did you discuss this with your surgeon? I would follow his/her advice while you recover since they will be familiar to what was done during the surgery and how they expect your recovery to progress. Ptosis surgery is technically demanding and delicate, and even in the best hands it can be very difficult to achieve a perfect outcome / symmetry. I have performed thousands of eyelid surgeries and I am well familiar with how challenging it can be. If after you have healed you are unsatisfied with your outcome, you could consider a second opinion regarding a revision. Revision surgery is not a medically necessary procedure and not covered by health insurance in my practice. 
Good luck!
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

Thank you for your inquiry!  The eyelid swelling can improve over the first few months following ptosis surgery.  Along with that, the height and contour of the upper eyelid may change as the swelling resolves.  I would recommend continuing to follow-up with your eyelid surgeon throughout the healing process and he/she can intervene if needed when the timing is right. 
Good luck! 

The swelling, which is normal, will probably clear along with it's associated excess skin and creases.The contour asymmetry is a different issue. The top of the curve looks to be more nasal on one side ( or more temporal on the other).It may not affect the way you see, but you could bring up the issue with the original surgeon. He/She knows the details of where everything is and whether there were anatomical issues that influenced decision making. Most surgeons prefer to wait on revision. A few may prefer to act earlier. 

Thanks for posting your question and for providing your before and after photos.
It sounds like, and looks like, you had a levator advancement surgery to address your upper eyelid ptosis. Commonly, the swelling from a surgery like this can last up to 6 weeks. Because you are only half way to this first major milestone, it is difficult to judge your functional and aesthetic results. As your swelling improves, you will hopefully see an improvement in the issues that you are discussing. If you do end up considering a revision surgery, it is best to see an oculo-plastic surgeon-an ophthalmologist with plastic surgery training that focuses specifically on eyelid surgery. They will be able to provide you with a comprehensive eyelid exam and would be able to address your concerns.
In the meantime, stick with the surgeon that operated on you. Make sure to schedule a follow up appointment and bring a list of questions and concerns that you have. A good surgeon always wants what is best for his patients and would want to address your concerns with you - that could mean waiting and seeing if things improve, a revision, or a referral to a colleague who might be better equipped to help you.
I hope this answer helps!
All The Best,
Dr. Dan Landmann, MD, MSEE