Is it normal for eyelids to still feel tight when looking up, swollen and puffy in appearance years after eyelid surgery? (photo

Hi and thank you for your question. Swelling puffiness and inflammation resultant from surgery should resolve itself within the first few weeks following your procedure. If you continue to experience these conditions years after surgery, several factors could be contributors including weight gain, excess water retention, and even heightened sensitivity to allergens. If any of these factors last beyond 48 hours — and especially if you are experiencing pain or discomfort — you should schedule an examination with a board certified eye specialist immediately, as they could be symptoms of several eye conditions varying in severity. Only an in-person examination can determine whether these symptoms stem from your surgery or other causes. I wish you the best of health!- Elbert T. Cheng, MD