Upper blepharoplasty too conservative? (photos)

It's too early to judge. There is still considerable swelling in the upper lid, so it might look heavier now than the final result will actually be. 

Thanks for the photo and question.  It would have been great to see a 'before' photo, to compare.  You should wait a few weeks, for any residual swelling to settle, before making a final judgement about the outcome.   

Your photo exhibits bilateral upper eyelid ptosis.  Either the ptosis is caused by upper eyelid swelling related to your surgery 3 weeks ago or it existed prior to this surgery.  If it was caused by the surgery it is either temporary or permanent.  Swelling of the tissue does contribute to upper eyelid heaviness that resolves with time.  On the other hand, upper blepharoplasty can injure the levator aponeurosis, the tendon of the upper eyelid.  It can easily be severed with the skin excision.  This is generally very well tolerated.  However, for some, this causes persistent upper eyelid ptosis.  Time is what you need.  Generally it is advisable to be patient and wait 6 months before looking into revisional surgery.

You look like you are healing well and as your swelling decreases the lids will look even better. You definitely don't want to take too much skin off as that can lead to major problems. At a year if you need a small skin trim that is an easy office procedure 

It is always better to have a conservative upper blepharoplasty instead of an aggressive one.  You should wait for the healing to complete and in 6 months to a year you can undergo either a minor revision or you can start undergoing Thermismooth treatments to the eyelids starting 6 weeks after your blepharoplasty.  That will tighten the skin enough that she might not need any revision surgery.RegardsDr. J

at 3 weeks you have some edema still.  So wait at least 6 months.  You look like you are healing well and I think that you will be happy with the final result.   

Thank you for your question.  You appear to have a very nice result.  It is still early in the healing process and the swelling will go down as well. The scars will settle and the result will appear even better.  All the best,

Thank you for asking the question and posting your photograph. Your eyelids look excellent at 3 weeks post op and will only continue to improve. Do not consider further eyelid surgery. Good luck.

At three weeks I would say it is too early to render a judgment if the excision was too conservative. The upper eyelids are susceptible to post-operative swelling and make take several more weeks to resolve completely. Too aggressive of an excision of upper eyelid skin during blepharoplasty can lead to an inability to close the eyes completely (lagophthalmos in doctor speak) which can lead to dryness and issues with the cornea.

Perhaps, but you will not be able to judge fully until the swelling is gone and you have healed. Conservative might be a misleading term, as if you like your result and think you look good the result is not conservative at all.