Do I need a revision because my eyes are extremely droopy as if nothing changed? (Photos)

I would recommending sharing your concerns with your doctor. Ptosis surgery can be very tricky and often requires a tweak. Your surgeon will be the best one to let you know timing for a revision.

Best to discuss with your surgeon and wait 3 months for healing before considering revision eyelid ptosis surgery.  Revision eyelid ptosis surgery may be considered using different specialized technique.  One other problem I notice is sunken hollow upper eyelids that can be improved with filler injection.

A personal examination is needed to determine your likelihood of benefiting from ptosis surgery. There are individuals who have rare conditions that do not respond well to ptosis surgery. For example ocular myasthenia is a rare condition that causes a variable ptosis. This condition does not respond well to ptosis surgery. For this reason, it is important to see someone who can assess you for these types of conditions before doing more ptosis surgery. I am not saying you have that condition, I am just pointing out that thoughtful assessment should be made before having more eyelid surgery. No revisional surgery should be done for about 6 months to let the eyelid tissue heal.  Ptosis is humbling business.

You are still low - on both sides, but worse on the left.  It is still early in the healing phase, so it may come up a little.  But since you don't have a lot of swelling and/or bruising, I would doubt it will come up enough, but you still should wait at least 4-6 months for the final result.If they do not elevate, you can have a revision, and may benefit from a ptosis repair done from the inside of the eyelid, a mullerectomy.You have a very deep superior sulcus, with very little fat in the upper eyelid.  It can be hard to create a nice crease in this type of lid, and the crease will often migrate back up into the hollow area.  We try to move fat down in this type of lid if there is any fat.  You may want to try some filler in the upper lid in the future to make it look less hollow once you are fully healed with the ptosis.   

Thank you for sharing your question and posting your photograph. Your eyelids are swollen and not healed yet. Wait 2 months to judge the results. I hope this helps.Good luck,

Yes, you need another operation if you’d like your lid levels to be symmetrical. Eyelid ptosis repair surgery is tricky, and has a high rate of revision. There are many ways to actually preform a ptosis repair. Please seek out an experienced and confident surgeon who has successfully preformed such surgery. Best of luck.

You are quite early after your recent surgery, but you should always follow up with your Surgeon and continue to ask all of your questions.  It may be necessary to perform revisional surgery, but this is too early to determine this at this time.Good luck to you!Frank Rieger M.D.  Tampa Plastic Surgeon