Uneven eyes after blepharoplasty. What should I do? (Photo)

Thanks for the question and sorry you are having problems with the post op recovery.It is quite obvious form the pciture that the two eyes are differentYou can ask your surgeon whether the same amount of skin was taken from each side - you have a slight droop of the right eyelid that can be addressed - I would need to examine your eye to verify the optometrists findings but generally the surgery is not near the tear ducts and so this is quite strange to develop so much scar tissue here.I hope this is of helpBW

It appears that you have ptosis of the right upper eyelid and that can be corrected with an oculoplastic surgeon- 

Need proper eye evaluation for accurate assessment. Eye asymmetry could be due to eyelid asymmetry or underlying eye size difference. 

On one photo, the left seems affected and on the other photo, it’s the other side. The photos are not dated. It’s unusual for the lower eyelid margin to ride higher; it’s usually the opposite. Compare your current photos with your pre op photos, and follow with your surgeon.

It looks like you have some ptosis of the right upper lid.  This might have been present before the blepharoplasty but was unrecognized due to the excess skin. It can also occur after a bleph if the levator muscle has been altered.  The ptosis can be surgically repaired about 6 months after the initial  surgery.  See an oculoplastic surgeon for an evaluation.Tough to see what is going on with the lower lid.  It would be very unusual for scar tissue to grow up over the tear duct.  If it has, this can also be repaired. 

It appears from the photograph that you have a slightly droopy right upper lid. The lid position is related to the underlying muscle strength. If it has been more than 6 weeks after surgery, ask your surgeon about options to raise the right upper lid.   

There are several things that any Plastic Surgeon would need to know when evaluating this condition.  Most importantly, what did you look like before surgery?  A. Ops of your operative note would also be quite helpful.  How long after surgery are you at this time?  Is your tear duct open or closed? Do you have dry eyes or not?I think some of these answers need to be explored before an accurate answer could be put forth.  Most importantly, a full examination would have to be made to be certain of your present condition before a suitable recommendation could be made.  Check with your Surgeon once again, and if you feel unsure of any part of the answer that may be uncertain for improving the condition, get another opinion.Good luck to you.Frank Rieger M.D.  Tampa Plastic Surgeon